Organization Active NPI

Integrative Therapy Solutions, Incorporated

  • Occupational Therapist
  • Odessa, FL
National Provider Identifier
1568762771
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
INTEGRATIVE THERAPY SOLUTIONS, INCORPORATED
Practice address
15613 Berea Dr
Odessa, FL 33556-3006
Phone
(813) 920-7304
Fax
(813) 920-7304
NPI assigned
Oct 22, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Kimberly Lescalett Hazelton, OTR/LNPI 1922311232
Title
Owner/President
Phone
(813) 920-7304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

15613 Berea Dr
Odessa, FL 33556-3006

Mailing address

15613 Berea Dr
Odessa, FL 33556-3006
Phone (813) 920-7304

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1568762771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15613 BEREA DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563006",
            "telephone_number": "813-920-7304",
            "fax_number": "813-920-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15613 BEREA DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563006",
            "telephone_number": "813-920-7304",
            "fax_number": "813-920-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPY SOLUTIONS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "HAZELTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LESCALETT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-920-7304",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.