Integrative Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATIVE PHYSICAL THERAPY, LLC

Doing business as

Integrative Physical Therapy

Practice address

1928 Court Ave
Baker City, OR 97814-3445

Phone

(541) 523-9664

Fax

(541) 523-9665

NPI assigned

Jun 16, 2016

Last updated

Sep 23, 2024By 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

Anne NemecNPI 1265459093

Title

Owner

Phone

(541) 523-9664

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Integrative Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

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.

• Anne Nemec, PT

  • Physical Therapist
  • Baker City, OR
  • NPI 1265459093
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1609226059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 COURT AVE",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978143445",
            "telephone_number": "541-523-9664",
            "fax_number": "541-523-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 COURT AVE",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978143445",
            "telephone_number": "541-523-9664",
            "fax_number": "541-523-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "NEMEC",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-523-9664"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "03918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1265459093",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer S. Hoffman, CNP
• Charles E Hofmann, MD
• Nancy Hutnak, D.O.
• Ideal Partners in Home Care, LLC
• Joann Illingsworth
• Kourtney Kay Irish
• Lauren Leigh Isham
• Ellen Leota Jacobs, PH.D., SLP
• Neal R Jacobson, DO
• James E. Davis, M.D., P.C.

• Physical Therapist in Baker City, OR
• Providers in Baker City, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.