Integrative Manual Therapy & Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATIVE MANUAL THERAPY & WELLNESS

Practice address

350 W. 22ND St.
Suite 108
Norfolk, VA 23517-2117

Phone

(757) 216-4151

Fax

(757) 216-4152

NPI assigned

Feb 27, 2007

Last updated

Jan 6, 2009By 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

Mrs. Krysia Witkowski, MPTNPI 1528133436

Title

President

Phone

(757) 216-4151

Specialties & licenses 1

Addresses

Other names 1

• Norfolk Integrative Manual Therapy Former legal business name

Locations

Practitioners 2

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.

• Krysia B Witkowski, MPT

  • Physical Therapist
  • Norfolk, VA
  • NPI 1528133436
  NPD (past) Authorized official
• Lynn Rushing Lassiter, PT, DPT, CIMT

  • Physical Therapist
  • Norfolk, VA
  • NPI 1396975215
  NPD

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1689701856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W. 22ND ST.",
            "address_2": "SUITE 108",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172117",
            "telephone_number": "757-216-4151",
            "fax_number": "757-216-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W. 22ND ST.",
            "address_2": "SUITE 108",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235172117",
            "telephone_number": "757-216-4151",
            "fax_number": "757-216-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MANUAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "WITKOWSKI",
        "authorized_official_first_name": "KRYSIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-216-4151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norfolk Integrative Manual Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Physical Therapist in Norfolk, VA
• Providers in Norfolk, VA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.