NPIMap

Organization Active NPI

Integrative Physical Medicine of Maitland, LLC

Doing business as Integrative Physical Medicine

  • Specialist
  • Orlando, FL
National Provider Identifier
1912363383
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INTEGRATIVE PHYSICAL MEDICINE OF MAITLAND, LLC
Doing business as
Integrative Physical Medicine
Practice address
7984 Forest City Rd
Suite 106
Orlando, FL 32810-2907
Phone
(407) 502-3545
Fax
(407) 502-3503
NPI assigned
Jan 14, 2016
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Dr. Bret ScheupleinNPI 1548390552
Title
Owner
Phone
(407) 839-1045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7984 Forest City Rd
Suite 106
Orlando, FL 32810-2907

Mailing address

7984 Forest City Rd
Suite 106
Orlando, FL 32810-2907
Phone (407) 502-3545

Other names 1

  • Integrative Physical Medicine Doing business as

National Provider Directory

National Provider Directory
Part of
Complete Care Centers LLC

Practitioners & affiliated clinicians

Practitioners 2

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": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1912363383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7984 FOREST CITY RD",
            "address_2": "SUITE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102907",
            "telephone_number": "407-502-3545",
            "fax_number": "407-502-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7984 FOREST CITY RD",
            "address_2": "SUITE 106",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328102907",
            "telephone_number": "407-502-3545",
            "fax_number": "407-502-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF MAITLAND, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATIVE PHYSICAL MEDICINE HOLDING, LLC",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "SCHEUPLEIN",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-839-1045",
        "authorized_official_name_prefix": "Dr."
    },
    "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"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.