Integrated Medical Care, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

INTEGRATED MEDICAL CARE, LLC

Doing business as

Aquatic Rehabilitation & Physical Therapy Center

Practice address

15501 Bustleton Ave
Suite a
Philadelphia, PA 19116-1187

Phone

(215) 742-7033

Fax

(215) 742-7034

NPI assigned

Jun 21, 2006

Last updated

Mar 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Natalya Matyashova

Title

Coordinator

Phone

(215) 742-7033

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aquatic Rehabilitation & Physical Therapy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Aquatic Rehabilitation Physical Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integrated Medical Care

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1578011219
  NPD tax ID

Locations

Practitioners 5

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.

• Vera A Karge, P.T.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1285860692
  Medicare reassignment Care Compare group NPD
• Zena M Zingerman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1780610980
  Medicare reassignment Care Compare group NPD
• Dimitry Alexander Zingerman, DPT

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1770164659
  NPD
• Alina Fish, P.T.

  • Physical Therapist
  • Huntingdon Valley, PA
  • NPI 1306885231
  NPD (past)
• Beverly Gail Parker, M.P.T.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1275561375
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1891731741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 BUSTLETON AVE",
            "address_2": "SUITE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161187",
            "telephone_number": "215-742-7033",
            "fax_number": "215-742-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 BUSTLETON AVE",
            "address_2": "SUITE A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161187",
            "telephone_number": "215-742-7033",
            "fax_number": "215-742-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "MATYASHOVA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "215-742-7033"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019445460004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aquatic Rehabilitation & Physical Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Integrated Medical Care
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• Integrated Wound Care Pennsylvania PLLC
• Integrative Aging in Place LLC
• Integrative Behavioral Home Healthcare

• Physical Medicine & Rehabilitation Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.