Organization Active NPI

Integrative Therapeutics LLC

  • Pain Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1861757023
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
71002899B Issued in IN
Legal business name
INTEGRATIVE THERAPEUTICS LLC
Practice address
11074 Woods Bay LN
Indianapolis, IN 46236-9020
Phone
(317) 703-4772
NPI assigned
Jul 12, 2012
Last updated
Jul 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Mrs. Jenile J Abell, F.N. P.NPI 1073755658
Title
President
Phone
(317) 826-0096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 71002899B IN
Pain Clinic/Center 261QP3300X 71002899B IN Primary

Addresses

Primary practice location

11074 Woods Bay LN
Indianapolis, IN 46236-9020

Mailing address

11074 Woods Bay LN
Indianapolis, IN 46236-9020
Phone (317) 703-4772

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": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1861757023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11074 WOODS BAY LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369020",
            "telephone_number": "317-703-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11074 WOODS BAY LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369020",
            "telephone_number": "317-703-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "ABELL",
        "authorized_official_first_name": "JENILE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-826-0096",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "F.N. P."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "71002899B",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IN",
            "license": "71002899B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.