Organization Active NPI

Integrative Health & Alternative Pain Center, LLC

  • Specialist
  • Altamonte Springs, FL
National Provider Identifier
1760810238
Registry record updated Oct 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA48626 Issued in FL
Legal business name
INTEGRATIVE HEALTH & ALTERNATIVE PAIN CENTER, LLC
Practice address
195 S Westmonte Dr
Suite 1120
Altamonte Springs, FL 32714-4266
Phone
(407) 862-8834
Fax
(407) 862-5951
NPI assigned
Oct 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2013

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

Authorized official

Name
Marisa Burkhart, LMT
Title
Therapist/Owner
Phone
(321) 946-5153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MA48626 FL Primary

Addresses

Primary practice location

195 S Westmonte Dr
Suite 1120
Altamonte Springs, FL 32714-4266

Mailing address

195 S Westmonte Dr
Suite 1120
Altamonte Springs, FL 32714-4266
Phone (407) 862-8834

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1760810238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S WESTMONTE DR",
            "address_2": "SUITE 1120",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144266",
            "telephone_number": "407-862-8834",
            "fax_number": "407-862-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S WESTMONTE DR",
            "address_2": "SUITE 1120",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144266",
            "telephone_number": "407-862-8834",
            "fax_number": "407-862-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH & ALTERNATIVE PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "BURKHART",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "321-946-5153",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA48626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.