Integrative Bodyworks Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13297 Issued in MA

Legal business name

INTEGRATIVE BODYWORKS PHYSICAL THERAPY LLC

Practice address

2 Allen St
Suite D
Hampden, MA 01036-9552

Phone

(413) 566-5025

Fax

(413) 566-3531

NPI assigned

Aug 21, 2009

Last updated

Aug 21, 2009By 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

Mr. Scot A McComas, MPT

Title

Owner/Physical Therapist

Phone

(413) 566-5025

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1457583528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 THRESHER RD",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "010369117",
            "telephone_number": "413-566-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALLEN ST",
            "address_2": "SUITE D",
            "city": "HAMPDEN",
            "state": "MA",
            "postal_code": "010369552",
            "telephone_number": "413-566-5025",
            "fax_number": "413-566-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BODYWORKS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "MCCOMAS",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "413-566-5025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "13297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamilla Gamidova
• Valerie Gonzalez
• Hampden Health and Rehabilitation Center LLC (Pine Mountain Rehabilitation and Nursing Center)
• Judy Hatch, R.N., M.S.N, IBCLC
• John Raleigh Hennessy, DDS
• Amanda Klink, LMHC
• Kristina Milik Kowalski, D.C.
• Danielle Love Lawrence, LMHC
• Kathleen Marie Lee
• Maryam Lempke, RN, PMHNP

• Physical Therapist in Hampden, MA
• Providers in Hampden, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.