Integrated Therapies Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 8620 Issued in FL

Legal business name

INTEGRATED THERAPIES INC

Practice address

1450 N US Highway 1
Suite 900
Ormond Beach, FL 32174-6622

Phone

(386) 671-2112

Fax

(386) 671-2113

NPI assigned

Feb 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kelly Elizabeth Van Rij, RPT, L.AC.

Title

President

Phone

(386) 451-2781

Specialties & licenses 2

Addresses

Other names 1

• Integrated Therapies of Central Florida Inc Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1295913143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 LEEWAY TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321742563",
            "telephone_number": "386-451-2781",
            "fax_number": "386-671-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N US HIGHWAY 1",
            "address_2": "SUITE 900",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746622",
            "telephone_number": "386-671-2112",
            "fax_number": "386-671-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "VAN RIJ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-451-2781",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT, L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP 1788",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 8620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Therapies of Central Florida Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.