Active NPI
Integral Rehabilitation, LLC
- Clinic/Center
- Midvale, UT
National Provider Identifier
1306176748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- INTEGRAL REHABILITATION, LLC
- Practice address
- 6771 S 900 E
Midvale, UT 84047-1436 - Phone
- (801) 696-5257
- Fax
- (801) 683-1589
- NPI assigned
- Jan 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hallie J Robbins, DO
- Title
- Ceo
- Phone
- (801) 696-5257
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
6771 S 900 E
Midvale, UT 84047-1436
Mailing address
49 E 96TH St
New York, NY 10128-0782
Phone (801) 696-5257
Other practice location 1
49 E 96th St
New York, NY 10128-0782
Phone (801) 696-5257
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 612080200 | Other | ACS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- New York, NY
- NPI 1619145893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1306176748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 E 96TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101280782",
"telephone_number": "801-696-5257",
"fax_number": "801-831-5896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6771 S 900 E",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471436",
"telephone_number": "801-696-5257",
"fax_number": "801-683-1589"
}
],
"practiceLocations": [
{
"address_1": "49 E 96th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101280782",
"country_code": "US",
"telephone_number": "801-696-5257",
"fax_number": "801-831-5896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTEGRAL REHABILITATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-07",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "ROBBINS",
"authorized_official_first_name": "HALLIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-696-5257",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "612080200",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.