Integrative Physical Medicine of Kissimmee LLC.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTEGRATIVE PHYSICAL MEDICINE OF KISSIMMEE LLC.

Practice address

222 Broadway
Suite 202
Kissimmee, FL 34741-5781

Phone

(407) 624-5808

Fax

(407) 624-5803

NPI assigned

Apr 20, 2015

Organization subpart

Yes

Parent organization

INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Bret Genter Scheuplein, DCNPI 1548390552

Title

Owner

Phone

(407) 624-5808

Specialties & licenses 1

Addresses

Other names 1

• Integrative Physical Medicine Doing business as

Part of

Complete Care Centers LLC

Locations

Practitioners 1

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

• Bret G Scheuplein, BS DC

  • Chiropractor
  • Orlando, FL
  • NPI 1548390552
  NPD (past) Authorized official

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1871980656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BROADWAY",
            "address_2": "SUITE 202",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415781",
            "telephone_number": "407-624-5808",
            "fax_number": "407-624-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BROADWAY",
            "address_2": "SUITE 202",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415781",
            "telephone_number": "407-624-5808",
            "fax_number": "407-624-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF KISSIMMEE LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "SCHEUPLEIN",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "GENTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-624-5808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "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"
        }
    ]
}

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• Specialist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.