Active NPI
Center for Integral Healing Inc.
- Physical Therapist
- Santa Rosa, CA
National Provider Identifier
1689991572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT17723
- Legal business name
- CENTER FOR INTEGRAL HEALING INC.
- Practice address
- 182 Farmers Lane
#203
Santa Rosa, CA 95405 - Phone
- (707) 578-0961
- Fax
- (707) 578-0961
- NPI assigned
- Apr 30, 2010
- Last updated
- Jun 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Renee G. Valentino, P.T.
- Title
- President
- Phone
- (707) 578-0961
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | PT17723 | CA | |
| Physical Therapist | 225100000X | PT17723 | CA | Primary |
Addresses
Primary practice location
182 Farmers Lane
#203
Santa Rosa, CA 95405
Mailing address
182 Farmers Lane
#203
Santa Rosa, CA 95405
Phone (707) 578-0961
National Provider Directory
National Provider DirectoryLocations
182 Farmers Ln
Ste 203
Santa Rosa, CA 95405
Phone (707) 578-0961
Practitioners & affiliated clinicians
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.
-
- Physical Therapist
- Santa Rosa, CA
- NPI 1972548758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277164800000",
"number": "1689991572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 FARMERS LANE",
"address_2": "#203",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-578-0961",
"fax_number": "707-578-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 FARMERS LANE",
"address_2": "#203",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-578-0961",
"fax_number": "707-578-0961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR INTEGRAL HEALING INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-30",
"last_updated": "2010-06-22",
"status": "A",
"authorized_official_last_name": "VALENTINO",
"authorized_official_first_name": "RENEE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-578-0961",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": "CA",
"license": "PT17723",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT17723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.