Integrated Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT21309 Issued in CA

Legal business name

INTEGRATED PHYSICAL THERAPY

Practice address

1775 Hancock St
130
San Diego, CA 92110-2034

Phone

(619) 542-1594

Fax

(619) 542-1595

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Michael Scott Kuenning, M.P. TNPI 1043304702

Title

Maging Director

Phone

(619) 542-1594

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Scott Kuenning, MPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1043304702
  NPD Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619199775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 HANCOCK ST",
            "address_2": "130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102034",
            "telephone_number": "619-542-1594",
            "fax_number": "619-542-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 HANCOCK ST",
            "address_2": "130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102034",
            "telephone_number": "619-542-1594",
            "fax_number": "619-542-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUENNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MAGING DIRECTOR",
        "authorized_official_telephone_number": "619-542-1594",
        "authorized_official_credential": "M.P. T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT21309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Behavioral Health Group, LLC
• Integrated Behavioral Health Group, LLC
• Integrated Care Solutions
• Integrated Pain Solutions
• Integrated Pain Specialists of Southern California, Inc.
• Integrated Rehab, Inc
• Integrated Self Image Systems, Inc.
• Integrated Systems Medical Group
• Integrated Wellness
• Integrative Healing Dynamics

• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Clinic/Center in California

• 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.