Organization Active NPI

Integras Therapy & Wellness Centers Inc

  • Rehabilitation Clinic/Center
  • Blountstown, FL
National Provider Identifier
1922034552
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
INTEGRAS THERAPY & WELLNESS CENTERS INC
Practice address
17352 Main St N
Blountstown, FL 32424-1763
Phone
(850) 674-4300
Fax
(850) 674-4305
NPI assigned
Jun 24, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Chauncy Belser, PT
Title
Physical Therapist, Coo
Phone
(850) 674-7639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

17352 Main St N
Blountstown, FL 32424-1763

Mailing address

17352 Main St N
Blountstown, FL 32424-1763
Phone (850) 674-7639

Other identifiers 1

IdentifierTypeStateIssuer
890142200MedicaidFL

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": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1922034552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17352 MAIN ST N",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241763",
            "telephone_number": "850-674-7639",
            "fax_number": "850-674-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17352 MAIN ST N",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241763",
            "telephone_number": "850-674-4300",
            "fax_number": "850-674-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAS THERAPY & WELLNESS CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BELSER",
        "authorized_official_first_name": "CHAUNCY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, COO",
        "authorized_official_telephone_number": "850-674-7639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890142200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blountstown, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.