Integral Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT01171E Issued in PA

Legal business name

INTEGRAL PHYSICAL THERAPY, LLC

Practice address

506 N Park Rd
Wyomissing, PA 19610-2920

Phone

(610) 743-4633

Fax

(610) 743-4632

NPI assigned

Apr 7, 2014

Organization subpart

No

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

Authorized official

Name

Miss Ilene Fischman, M.S., P.T.NPI 1467467886

Title

Physical Therapist/Owner

Phone

(610) 743-4633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ilene Fischman, MSPT

  • Physical Therapist
  • Wyomissing, PA
  • NPI 1467467886
  NPD (past) Authorized official

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396828800000",
    "number": "1376961300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N PARK RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102920",
            "telephone_number": "610-743-4633",
            "fax_number": "610-743-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N PARK RD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102920",
            "telephone_number": "610-743-4633",
            "fax_number": "610-743-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2014-04-07",
        "status": "A",
        "authorized_official_last_name": "FISCHMAN",
        "authorized_official_first_name": "ILENE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "610-743-4633",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT01171E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.