Integrative Physical Medicine of Sanford, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INTEGRATIVE PHYSICAL MEDICINE OF SANFORD, LLC

Practice address

2676 S Orlando Dr
Sanford, FL 32773-5339

Phone

(321) 262-0082

Fax

(321) 262-0084

NPI assigned

Jul 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Marc Ott, DC

Title

Ceo

Phone

(321) 262-0082

Specialties & licenses 1

Addresses

Other names 1

• Integrative Physical Medicine Doing business as

Locations

Practitioners 1

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

• Giovanna Brittney Chambers, DC

  • Chiropractor
  • Sanford, FL
  • NPI 1639768104
  NPD

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1386120004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ALEXANDRIA BLVD STE 1000",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655548",
            "telephone_number": "321-318-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 S ORLANDO DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735339",
            "telephone_number": "321-262-0082",
            "fax_number": "321-262-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF SANFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-262-0082",
        "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": [
        {
            "organization_name": "Integrative Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Sanford, FL
• Providers in Sanford, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.