Integrative Spine and Sports Chiropractic Rehab PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATIVE SPINE AND SPORTS CHIROPRACTIC REHAB PLLC

Practice address

500 Spring Hill Dr Ste 120
Spring, TX 77386-6024

Phone

(832) 413-1130

NPI assigned

Nov 24, 2018

Organization subpart

No

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

Authorized official

Name

Gershom Jinhyun Kim, DPTNPI 1679043202

Title

Director of PT

Phone

(817) 271-4877

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Gershom Jinhyun Kim, DPT

  • Physical Therapist
  • Spring, TX
  • NPI 1679043202
  NPD (past) Authorized official

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

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543017600000",
    "number": "1669941324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 CAMBRIDGE ST APT 27",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543030",
            "telephone_number": "832-350-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPRING HILL DR STE 120",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773866024",
            "telephone_number": "832-413-1130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 Star Ln",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770577115",
            "country_code": "US",
            "telephone_number": "832-987-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5360 Fm 1960 Rd E",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773462502",
            "country_code": "US",
            "telephone_number": "832-644-8276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE SPINE AND SPORTS CHIROPRACTIC REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-24",
        "last_updated": "2018-11-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "GERSHOM",
        "authorized_official_middle_name": "JINHYUN",
        "authorized_official_title_or_position": "DIRECTOR OF PT",
        "authorized_official_telephone_number": "817-271-4877",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integral Gastroenterology Center, P.a.
• Integrated Community Services, Inc.
• Integrated Dermatology Clinic PA
• Integrated Surgery Center
• Integrative Health & Medicine
• Integrity Lanes
• International Sleep Labs of America
• Interventional Partners LLC
• Interventional Spine of Texas, PLLC
• Invictus Ventures Group Inc

• Physical Therapist in Spring, TX
• Providers in Spring, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2018; 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.