NPIMap

Organization Active NPI

Integrative Physical Medicine of West Orlando LLC

  • Specialist
  • Orlando, FL
National Provider Identifier
1821445883
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INTEGRATIVE PHYSICAL MEDICINE OF WEST ORLANDO LLC
Practice address
800 Mercy Dr
Ste a
Orlando, FL 32808-7850
Phone
(407) 630-7749
Fax
(407) 630-7789
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Bret Scheuplein
Title
Owner
Phone
(407) 630-7749

Specialties & licenses 1

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

Addresses

Primary practice location

800 Mercy Dr
Ste a
Orlando, FL 32808-7850

Mailing address

800 Mercy Dr
Ste a
Orlando, FL 32808-7850
Phone (407) 630-7749

Other names 1

  • Integrative Physical Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

822 Mercy Dr
Orlando, FL 32808
Phone (407) 630-7749

800 Mercy Dr
Ste A
Orlando, FL 32808
Phone (407) 630-7749

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1821445883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "address_2": "STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087850",
            "telephone_number": "407-630-7749",
            "fax_number": "407-630-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "address_2": "STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087850",
            "telephone_number": "407-630-7749",
            "fax_number": "407-630-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF WEST ORLANDO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "SCHEUPLEIN",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-630-7749"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Physical Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.