Organization Active NPI

Integrative Therapy Services LLS

  • Physical Therapy Clinic/Center
  • Norcross, GA
National Provider Identifier
1336532613
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
010554 Issued in GA
Legal business name
INTEGRATIVE THERAPY SERVICES LLS
Practice address
50 Skin Alley Suite 4
Norcross, GA 30071
Phone
(678) 404-7605
NPI assigned
Mar 11, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Dr. Scott Landon Dixon, PT
Title
Owner
Phone
(404) 839-4741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 010554 GA Primary

Addresses

Primary practice location

50 Skin Alley Suite 4
Norcross, GA 30071

Mailing address

50 Skin Alley Suite 4
Norcross, GA 30071
Phone (678) 404-7605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1336532613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SKIN ALLEY SUITE 4",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30071",
            "telephone_number": "678-404-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SKIN ALLEY SUITE 4",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "30071",
            "telephone_number": "678-404-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPY SERVICES LLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-839-4741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "010554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.