Integrative Sports Medicine and Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11861 Issued in FL

Legal business name

INTEGRATIVE SPORTS MEDICINE AND CHIROPRACTIC LLC

Practice address

3305 Rice St
Coconut Grove, FL 33133-5216

Phone

(305) 792-8393

NPI assigned

Jun 2, 2016

Last updated

Jun 2, 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. Geoff Rudy, DC

Title

Chiropractor

Phone

(415) 420-9504

Specialties & licenses 1

Addresses

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.

• Geoffrey Rudy

  • Chiropractor
  • Coconut Grove, FL
  • NPI 1730633165
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1679921415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW 22ND CT",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333113741",
            "telephone_number": "415-420-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 RICE ST",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331335216",
            "telephone_number": "305-792-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE SPORTS MEDICINE AND CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "RUDY",
        "authorized_official_first_name": "GEOFF",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "415-420-9504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Hernandez Cardenache, PSY.D., M.S.ED.
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• Isabel Howard
• Janice L. Hynes, PSY.D.
• Innovative Pediatric Learning Center of Miami
• Ipod Care LLC
• Claudia Iturregui, RBT
• Eugene Jang, P.T.
• Laura Marcela Jaramillo
• John Jack Hupert, LMFT, PLLC

• Chiropractor in Coconut Grove, FL
• Providers in Coconut Grove, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.