Integrative Therapy Services Incorporated

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

INTEGRATIVE THERAPY SERVICES INCORPORATED

Practice address

3901 16TH St N
Saint Petersburg, FL 33703-5603

Phone

(727) 526-5432

Fax

(727) 526-5432

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Thomas Bienkowski, MS-CCC-SLPNPI 1770703613

Title

Owner-Director

Phone

(727) 526-5432

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Koala Kids Pediatric Therapy Services Doing business as

Locations

Practitioners 2

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

• John Thomas Bienkowski, M.S.- C.C.C.-S.L.P.

  • Speech-Language Pathologist
  • Saint Petersburg, FL
  • NPI 1770703613
  NPD (past) Authorized official
• John Davidson Floyd III, OTRL

  • Specialist
  • St Petersburg, FL
  • NPI 1710191622
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1437363363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 16TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337035603",
            "telephone_number": "727-526-5432",
            "fax_number": "727-526-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 16TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337035603",
            "telephone_number": "727-526-5432",
            "fax_number": "727-526-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "BIENKOWSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "727-526-5432",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS-CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889947900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Koala Kids Pediatric Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Speech-Language Pathologist in Florida

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