Integrity Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INTEGRITY THERAPY

Practice address

4306 W Crystal Lake Rd Ste a
McHenry, IL 60050-4249

Phone

(815) 385-7090

Fax

(815) 363-0401

NPI assigned

Jul 21, 2006

Last updated

Oct 11, 2007By 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. Lawrence John WenzelNPI 1265431704

Title

Physical Therapist

Phone

(815) 385-7090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Lawrence John Wenzel, PT

  • Physical Therapist
  • McHenry, IL
  • NPI 1265431704
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1467473280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 W CRYSTAL LAKE RD STE A",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504249",
            "telephone_number": "815-385-7090",
            "fax_number": "815-363-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 W CRYSTAL LAKE RD STE A",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504249",
            "telephone_number": "815-385-7090",
            "fax_number": "815-363-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-385-7090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in McHenry, IL
• Providers in McHenry, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.