NPIMap

Organization Active NPI

Integral Chiropractic LLC

  • Chiropractor
  • Olympia, WA
National Provider Identifier
1356472302
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034084 Issued in WA
Legal business name
INTEGRAL CHIROPRACTIC LLC
Practice address
2625 B Parkmont LN SW, Ste a
Olympia, WA 98502-1048
Phone
(360) 943-2940
Fax
(360) 943-5616
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Dr. Michael Wells Neely, DCNPI 1730237801
Title
Chiropractor - Owner
Phone
(360) 943-2940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034084 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00006430 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00008767 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00015063 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60065983 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA60066736 WA

Addresses

Primary practice location

2625 B Parkmont LN SW, Ste a
Olympia, WA 98502-1048

Mailing address

2625 B Parkmont LN SW, Ste a
Olympia, WA 98502-1048
Phone (360) 943-2940

Other identifiers 1

IdentifierTypeStateIssuer
2026060MedicaidWA

Other names 1

  • South Sound Pain Relief Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2625 Parkmont Ln SW
Ste A
Olympia, WA 98502
Phone (360) 943-2940

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1356472302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 B PARKMONT LN SW, STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021048",
            "telephone_number": "360-943-2940",
            "fax_number": "360-943-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 B PARKMONT LN SW, STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021048",
            "telephone_number": "360-943-2940",
            "fax_number": "360-943-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WELLS",
        "authorized_official_title_or_position": "CHIROPRACTOR - OWNER",
        "authorized_official_telephone_number": "360-943-2940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034084",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00006430",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00008767",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015063",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60065983",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60066736",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026060",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Sound Pain Relief Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.