Integrated Wellness Group LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INTEGRATED WELLNESS GROUP LLC

Practice address

458 N 500 W
Bountiful, UT 84010-6948

Phone

(801) 292-9355

Fax

(801) 296-8050

NPI assigned

Oct 25, 2012

Last updated

Feb 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cory Frogley, DCNPI 1033168372

Title

Owner

Phone

(801) 292-9355

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cory M Frogley, D.C.

  • Chiropractor
  • Bountiful, UT
  • NPI 1033168372
  Authorized official Same address or phone

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1366795502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106948",
            "telephone_number": "801-292-9355",
            "fax_number": "801-296-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 N 500 W",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106948",
            "telephone_number": "801-292-9355",
            "fax_number": "801-296-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-25",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "FROGLEY",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-292-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Blair Imus, D.O.
• Independence Physician and Resource
• Integrated Functional Medicine
• Integrated Functional Medicine, LLC
• Integrated Wellness Group LLC
• Integrated Wellness of Salt Lake
• Integrative Functional Nutrition
• Alivia Tess Irwin, LCSW
• Cory Dan Irwin
• Grace Isaacson, DO

• Chiropractor in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.