Integrated Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

3984 Issued in AZ

Legal business name

INTEGRATED PHYSICAL THERAPY, INC.

Practice address

20815 N 25TH PL
Suite 100
Phoenix, AZ 85050-4608

Phone

(602) 374-2760

Fax

(602) 354-8184

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Lee Eaton, MPTNPI 1831168707

Title

Owner

Phone

(602) 374-2760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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

• Jeffrey Lee Eaton, MPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1831168707
  Medicare reassignment Authorized official
• Chandrika Lotwala, DPT

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1871590174
  Medicare reassignment NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1699863530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20815 N 25TH PL",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504608",
            "telephone_number": "602-374-2760",
            "fax_number": "602-354-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20815 N 25TH PL",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504608",
            "telephone_number": "602-374-2760",
            "fax_number": "602-354-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "EATON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-374-2760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "3984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Medical W Center LLC
• Integrated Orthopedics Surgical Services
• Integrated Pain Consultants, LLC
• Integrated Pain Management Solutions PLLC
• Integrated Pathology Services, PLLC
• Integrated Physician Services, PLLC
• Integrated Premier Group Ipg
• Integrated Rehab of Az Inc
• Integrated RX Solutions Inc
• Integrated Wellness Center LLC

• Physical Therapy Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.