NPIMap

Organization Active NPI

Integrative Chiropractic & Physical Therapy Solutions Inc

  • Chiropractor
  • Gulf Breeze, FL
National Provider Identifier
1811167869
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8649 Issued in FL
Legal business name
INTEGRATIVE CHIROPRACTIC & PHYSICAL THERAPY SOLUTIONS INC
Practice address
4657 Gulf Breeze Pkwy Ste a&B
Gulf Breeze, FL 32563-9166
Phone
(850) 916-9304
Fax
(850) 916-9306
NPI assigned
Mar 6, 2008
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Karen A Cann, CHIROPRACTORNPI 1588631675
Title
Owner
Phone
(850) 916-9304

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
Chiropractor 111N00000X CH8649 FL Primary
Physical Therapist 225100000X PT 20841 FL

Addresses

Primary practice location

4657 Gulf Breeze Pkwy Ste a&B
Gulf Breeze, FL 32563-9166

Mailing address

4657 Gulf Breeze Pkwy Ste a&B
Gulf Breeze, FL 32563-9166
Phone (850) 916-9304

Other identifiers 3

IdentifierTypeStateIssuer
3821684MedicaidFL
8924112MedicaidFL
7324727OtherFLAETNA

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1811167869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 GULF BREEZE PKWY STE A&B",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639166",
            "telephone_number": "850-916-9304",
            "fax_number": "850-916-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 GULF BREEZE PKWY STE A&B",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639166",
            "telephone_number": "850-916-9304",
            "fax_number": "850-916-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CHIROPRACTIC & PHYSICAL THERAPY SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "CANN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-916-9304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8649",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 20841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3821684",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8924112",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7324727",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.