Flagstaff Integrated Therapies LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6167 Issued in AZ

Legal business name

FLAGSTAFF INTEGRATED THERAPIES LLC

Practice address

1515 N Main St
Suite B
Flagstaff, AZ 86004-4923

Phone

(928) 774-4111

Fax

(888) 607-4763

NPI assigned

Feb 9, 2011

Last updated

Sep 8, 2016By 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

Dr. James Michael Wittekind, PT, DPTNPI 1992005045

Title

Physical Therapist/Owner&Operator

Phone

(928) 774-4111

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, and the practitioner matching its NPPES authorized official.

• James Michael Wittekind, P.T., D.P.T.

  • Physical Therapist
  • Flagstaff, AZ
  • NPI 1992005045
  Authorized official Same address or phone

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1669778510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N MAIN ST",
            "address_2": "SUITE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044923",
            "telephone_number": "928-774-4111",
            "fax_number": "888-607-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N MAIN ST",
            "address_2": "SUITE B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044923",
            "telephone_number": "928-774-4111",
            "fax_number": "888-607-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTAFF INTEGRATED THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "WITTEKIND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER&OPERATOR",
        "authorized_official_telephone_number": "928-774-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "6167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flagstaff Eye Care PLLC
• Flagstaff Family Dental Center PLLC
• Flagstaff Family Physicians PC (Optum Primary Care)
• Flagstaff First Assist, PLLC
• Flagstaff Foot and Ankle Specialists PC
• Flagstaff Intensive Care Specialists, PLLC
• Flagstaff Internal Medicine PC
• Flagstaff Medical Center (Guardian Air)
• Flagstaff Medical Center (Guardian Medical Transport)
• Flagstaff Medical Center (Flagstaff Pharmacy)

• Physical Therapy Clinic/Center in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.