Integrated Medical Rehabilitation of FL, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATED MEDICAL REHABILITATION OF FL, LLC

Practice address

3924 9TH Ave W
Bradenton, FL 34205-1704

Phone

(941) 447-8219

Fax

(941) 747-1461

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Diane B. Lisch

Title

President/Managing Member

Phone

(941) 447-8219

Specialties & licenses 1

Addresses

Other names 1

• Integrated Medical Rehab and Testing Doing business as

Locations

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609828482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 9TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051704",
            "telephone_number": "941-447-8219",
            "fax_number": "941-747-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 9TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342051704",
            "telephone_number": "941-447-8219",
            "fax_number": "941-747-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL REHABILITATION OF FL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LISCH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT/MANAGING MEMBER",
        "authorized_official_telephone_number": "941-447-8219",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Medical Rehab and Testing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.