Integrated Neurology PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INTEGRATED NEUROLOGY PC

Doing business as

Ashcroft Chiropractic Center

Practice address

279 Business Route 4
Suite 1
Center Rutland, VT 05736-9731

Phone

(802) 775-4372

Fax

(802) 775-4918

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By 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

Dr. Mark R Woodbury, DCNPI 1366561979

Title

President

Phone

(802) 775-4372

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ashcroft Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Mark Woodbury

  • Chiropractor
  • Center Rutland, VT
  • NPI 1366561979
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932294964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 BUSINESS ROUTE 4",
            "address_2": "SUITE 1",
            "city": "CENTER RUTLAND",
            "state": "VT",
            "postal_code": "057369731",
            "telephone_number": "802-775-4372",
            "fax_number": "802-775-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BUSINESS ROUTE 4",
            "address_2": "SUITE 1",
            "city": "CENTER RUTLAND",
            "state": "VT",
            "postal_code": "057369731",
            "telephone_number": "802-775-4372",
            "fax_number": "802-775-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODBURY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-775-4372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "INTE00059811",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashcroft Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advantage Physical Therapy and Human Performance
• Daniel W. Brown, LIC.AC.
• Sue Lola Geesey-Jean, ATC,L
• Terri R Henderson, LMT
• Susan Morgan Mandel, PT
• Aleksandra Martin, CMT
• Holly L Politis
• Proactive Physical Therapy
• Proactive Physical Therapy, PC

• Chiropractor in Center Rutland, VT
• Providers in Center Rutland, VT by specialty
• Chiropractor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.