NPIMap

Organization Active NPI

Integrative Manual Physical Therapy LLC

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1669837837
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INTEGRATIVE MANUAL PHYSICAL THERAPY LLC
Practice address
8505 Fenton St
Suite 202
Silver Spring, MD 20910-4497
Phone
(301) 565-4925
NPI assigned
Dec 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Authorized official

Name
Lynne Gist
Title
Director/Provider
Phone
(301) 565-4925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

8505 Fenton St
Suite 202
Silver Spring, MD 20910-4497

Mailing address

8631 Indian Springs Rd
Laurel, MD 20724-1949
Phone (240) 603-1909

National Provider Directory

National Provider Directory

Locations

8505 Fenton St
Ste 202
Silver Spring, MD 20910
Phone (301) 565-4924

Practitioners & affiliated clinicians

Practitioners 8

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": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1669837837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8631 INDIAN SPRINGS RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207241949",
            "telephone_number": "240-603-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8505 FENTON ST",
            "address_2": "SUITE 202",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104497",
            "telephone_number": "301-565-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MANUAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "301-565-4925"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.