Ellensburg Integrative Medicine PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

ELLENSBURG INTEGRATIVE MEDICINE PLLC

Practice address

304 S Water St Ste 103
Ellensburg, WA 98926-3617

Phone

(509) 925-7246

NPI assigned

Apr 30, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Larry Miggins, DCNPI 1891833687

Title

Member

Phone

(206) 409-7100

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Larry Miggins, D.C.

  • Chiropractor
  • Bainbridge Island, WA
  • NPI 1891833687
  NPD Authorized official

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1649853367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S WATER ST STE 103",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263617",
            "telephone_number": "509-925-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S WATER ST STE 103",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263617",
            "telephone_number": "509-925-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLENSBURG INTEGRATIVE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "MIGGINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-409-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drmiggins1@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "304 S Water St Ste 103",
            "city": "Ellensburg",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989263617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellensburg Chiropractic,PS
• Ellensburg Counseling Services PLLC
• Ellensburg Downtown Pharmacy Inc (Downtown Health Mart Pharmacy)
• Ellensburg Eye and Contact Lens Clinic
• Ellensburg Family Medicine (CompassDirect Healthcare)
• Ellensburg Pediatrics PLLC
• Ellensburg Physical Therapy Center Inc
• Ellensburg School District
• Ellensburg Sport and Spine, LLC (Clark Chiropractic and Wellness)
• Ellensburg Ventures, L.L.C.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.