Integral Foundations Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRAL FOUNDATIONS PHYSICAL THERAPY PLLC

Practice address

18208 66TH Ave NE Ste 201
Kenmore, WA 98028-7949

Phone

(206) 636-1133

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Kathleen Neal, DPT

Title

Owner

Phone

(985) 320-1057

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1851946685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18208 66TH AVE NE STE 201",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980287949",
            "telephone_number": "206-636-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18208 66TH AVE NE STE 201",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980287949",
            "telephone_number": "206-636-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL FOUNDATIONS PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-320-1057",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Huang
• Elizabeth Scranton Hunter, MA
• Julia Icenogle, MOT, OTR/L
• Implant & Periodontal Associates
• Implant & Periodontal Associates NW Dr Jon Tarleton DDS MSD
• Clare Anne Isaacson, MA LMHC
• Rebecca Ivy
• Sunita Iyer, ND, LM
• Jennifer S Emerson D.D.S., P.L.L.C.
• Bailey Jensen, MSW, LICSW

• Physical Therapist in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.