Organization Active NPI

Integrate Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Brevard, NC
National Provider Identifier
1659821619
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
P7923 Issued in NC
Legal business name
INTEGRATE PHYSICAL THERAPY LLC
Practice address
19 Chestnut St
Suite 3
Brevard, NC 28712-3055
Phone
(828) 883-8262
Fax
(828) 883-8264
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Mrs. Joyanne Baron, MPTNPI 1275522443
Title
Owner/Physical Therapist
Phone
(828) 883-8262

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
Physical Therapy Clinic/Center 261QP2000X P7923 NC Primary

Addresses

Primary practice location

19 Chestnut St
Suite 3
Brevard, NC 28712-3055

Mailing address

41 Park Ave
Brevard, NC 28712-3533
Phone (828) 883-8262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161230001365 NC Part B Supplier - Clinic/Group Practice 3971884180 Receives reassigned benefits from 1 practitioner
Practice locations: Brevard, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1659821619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PARK AVE",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123533",
            "telephone_number": "828-883-8262",
            "fax_number": "828-883-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CHESTNUT ST",
            "address_2": "SUITE 3",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287123055",
            "telephone_number": "828-883-8262",
            "fax_number": "828-883-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "BARON",
        "authorized_official_first_name": "JOYANNE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "828-883-8262",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P7923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.