Integrated Therapy Solutions, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5501008415 Issued in MI

Legal business name

INTEGRATED THERAPY SOLUTIONS, LLC

Practice address

251 Northland Dr NE
Rockford, MI 49341-1041

Phone

(616) 884-5827

Fax

(616) 884-5828

NPI assigned

Jul 18, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Erin Leigh Bloomquist, P.T.

Title

Owner

Phone

(616) 648-0099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1346657673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 545",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493410545",
            "telephone_number": "616-884-5827",
            "fax_number": "616-884-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 NORTHLAND DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411041",
            "telephone_number": "616-884-5827",
            "fax_number": "616-884-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "BLOOMQUIST",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-648-0099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501008415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Courtney Marie Jack, RN
• Chad J Jackson, OD
• Kristin M. Jacob, MD
• Erika Danielle Jaworowicz

• Physical Therapy Clinic/Center in Rockford, MI
• Providers in Rockford, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.