Integrate2 Physical Therapy LLC

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

Legal business name

INTEGRATE2 PHYSICAL THERAPY LLC

Practice address

110 Evans Mill Dr Ste 206
Dallas, GA 30157-1624

Phone

(678) 909-9278

Fax

(833) 264-6634

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Ellen Parker, P. T.

Title

Managing Member

Phone

(678) 909-9278

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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.

• Laura Schell, PT

  • Physical Therapist
  • Dallas, GA
  • NPI 1154340529
  Medicare reassignment NPD
• Valerie Mourot, PT, DPT

  • Physical Therapist
  • Dallas, GA
  • NPI 1922936954
  NPD

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1740748045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR STE 206",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571624",
            "telephone_number": "678-909-9278",
            "fax_number": "833-264-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR STE 206",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571624",
            "telephone_number": "678-909-9278",
            "fax_number": "833-264-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATE2 PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-909-9278",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• It Is Well Healthcare, LLC
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• Ivanna Homecare
• Jack F Bickford, DDS, PC

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Dallas, GA
• Providers in Dallas, GA by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.