Integrative Physical Medicine of Lakeland LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTEGRATIVE PHYSICAL MEDICINE OF LAKELAND LLC

Practice address

1205 East Magnolia St
Suite 105
Lakeland, FL 33801

Phone

(863) 272-7454

Fax

(863) 272-7456

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Marc OttNPI 1437191020

Title

President

Phone

(407) 977-3434

Specialties & licenses 1

Addresses

Other names 1

• Integrative Physical Medicine Doing business as

Locations

Practitioners 1

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

• Marc Ott, D.C.

  • Chiropractor
  • Oviedo, FL
  • NPI 1437191020
  NPD (past) Authorized official

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1669908836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 EAST MAGNOLIA ST",
            "address_2": "SUITE 105",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33801",
            "telephone_number": "863-272-7454",
            "fax_number": "863-272-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 EAST MAGNOLIA ST",
            "address_2": "SUITE 105",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33801",
            "telephone_number": "863-272-7454",
            "fax_number": "863-272-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF LAKELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-977-3434"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inspire Targeted Case Management Agency LLC
• Integral Pieces, LLC
• Integrated Health Solutions, PL
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Regional Laboratories Pathology Services, LLC
• Integrity Prosthetics and Orthotics, LLC
• Interventional Associates of Lakeland
• Brittany N Irvin, COTA
• Neekia Irving
• Waleed H. Ismail, DO

• Specialist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.