Integrative Therapeutic Solutions, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

603406965 Issued in WA

Legal business name

INTEGRATIVE THERAPEUTIC SOLUTIONS, LLC

Practice address

5775 Soundview Dr
A-103
Gig Harbor, WA 98335-2211

Phone

(253) 651-3421

Fax

(253) 514-6863

NPI assigned

May 5, 2016

Organization subpart

No

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

Authorized official

Name

Mariel Castaneda Kraus, OTR/L

Title

Administrator

Phone

(253) 514-6842

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Certified Aging in Place Occupational Therapy Doing business as

Locations

Practitioners 1

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

• Tanner Jeffrey Holmes, DC

  • Chiropractor
  • Gig Harbor, WA
  • NPI 1376322834
  NPD

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1861848129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 OLYMPIC DR STE H105",
            "address_2": "#101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351491",
            "telephone_number": "253-514-6842",
            "fax_number": "253-514-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 SOUNDVIEW DR",
            "address_2": "A-103",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352211",
            "telephone_number": "253-651-3421",
            "fax_number": "253-514-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE THERAPEUTIC SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_middle_name": "CASTANEDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-514-6842",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WA",
            "license": "603406965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8946103",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Certified Aging in Place Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hunter LL Simpson, DDS, PLLC
• Jan Marie Hurnblad Sparks, LMP
• John Husby, ARNP
• Deanna Iff, AU.D.
• Leah J Inman, D.O.
• Denise Marie Iversen, O.D.
• Suzette Widdison Iverson, MPH PAC
• Adam S. Jackson, L.AC.
• Bruce E Jackson, MA
• James Allen Jackson, M.S.W.

• Rehabilitation Clinic/Center in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.