Integrative Physical Medicine of Lake Mary LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTEGRATIVE PHYSICAL MEDICINE OF LAKE MARY LLC

Practice address

1343 S International Pkwy
Suite 1351-B
Lake Mary, FL 32746-1401

Phone

(407) 792-0705

Fax

(407) 792-0710

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Marc OttNPI 1437191020

Title

President

Phone

(407) 977-3434

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Marc Ott, D.C.

  • Chiropractor
  • Oviedo, FL
  • NPI 1437191020
  NPD (past) Authorized official
• Bret G Scheuplein, BS DC

  • Chiropractor
  • Orlando, FL
  • NPI 1548390552
  NPD (past)
• Jenny K Yoshida, MD

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1134199888
  NPD (past)

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1487907010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1351-B",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461401",
            "telephone_number": "407-792-0705",
            "fax_number": "407-792-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1351-B",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461401",
            "telephone_number": "407-792-0705",
            "fax_number": "407-792-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF LAKE MARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-977-3434"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Therapeutic Services, Inc.
• Install - Don'T Fall, Inc.
• Integrated Life Counseling and Behavior Services
• Integrative Medicine of Lake Mary, Inc
• Integrative Physical Medicine of Lake Mary LLC
• Integrative Primary Care Doctor
• Interventional Spine Institute of Florida
• Interventional Spine Institute of Florida, PA
• Leigh Ippolito
• Irecovery, LLC

• Specialist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.