NPIMap

Organization Active NPI

Integrations Treatment Center

  • Occupational Therapist
  • Wickliffe, OH
National Provider Identifier
1790074714
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
INTEGRATIONS TREATMENT CENTER
Practice address
28700 Euclid Ave
#120
Wickliffe, OH 44092-2527
Phone
(440) 943-7607
Fax
(440) 943-7803
NPI assigned
Mar 30, 2011
Last updated
Mar 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Mrs. Ellen Denise Winney, OTR/LNPI 1679768592
Title
Assistant Director
Phone
21684901215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

28700 Euclid Ave
#120
Wickliffe, OH 44092-2527

Mailing address

28700 Euclid Ave
#120
Wickliffe, OH 44092-2527
Phone (440) 943-7607

National Provider Directory

National Provider Directory

Locations

28700 Euclid Ave
#120
Wickliffe, OH 44092
Phone (216) 965-6106

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1790074714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28700 EUCLID AVE",
            "address_2": "#120",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922527",
            "telephone_number": "440-943-7607",
            "fax_number": "440-943-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28700 EUCLID AVE",
            "address_2": "#120",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922527",
            "telephone_number": "440-943-7607",
            "fax_number": "440-943-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIONS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "WINNEY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "21684901215",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickliffe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.