Integrative Brain and Body PLLC

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

Legal business name

INTEGRATIVE BRAIN AND BODY PLLC

Practice address

1119 176TH Ave NE
Bellevue, WA 98008-3826

Phone

(425) 890-3347

NPI assigned

Apr 1, 2022

Last updated

Dec 1, 2023By 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

Cristin Sanfelippo, PT, DPT, NCSNPI 1548527054

Title

Owner

Phone

(425) 890-3347

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Cristin Sanfelippo, PT, DPT

  • Specialist
  • Bellevue, WA
  • NPI 1548527054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1952041279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 176TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 176TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083826",
            "telephone_number": "425-890-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BRAIN AND BODY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "SANFELIPPO",
        "authorized_official_first_name": "CRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-890-3347",
        "authorized_official_credential": "PT, DPT, NCS"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physical Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Neurology Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.