NPIMap

Organization Active NPI

Integral Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Lakewood, CO
National Provider Identifier
1962379370
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
INTEGRAL PHYSICAL THERAPY LLC
Practice address
1630 Carr St Ste B
Lakewood, CO 80214-5986
Phone
(720) 600-0370
Fax
(720) 600-0374
NPI assigned
Oct 21, 2025
Organization subpart
Yes
Parent organization
INTEGRAL PHYSICAL THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Christopher Edmundson, PT, DPT
Title
President
Phone
(720) 600-0370

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1630 Carr St Ste B
Lakewood, CO 80214-5986

Mailing address

11169 E I25 Frontage Rd Ste C
Firestone, CO 80504-5211
Phone (720) 600-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160601000357 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294025433 Receives reassigned benefits from 58 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Firestone, CO; Thornton, CO; Lone Tree, CO; Littleton, CO; Lakewood, CO; Frederick, CO; Erie, CO

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Integral Physical Thpy7 organizations share this tax ID, including this one
Part of
Integral Physical Thpy

Other organizations with this tax ID 6

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

Locations

1630 Carr St
Ste B
Lakewood, CO 80214
Phone (303) 330-4887

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1962379370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11169 E I25 FRONTAGE RD STE C",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805045211",
            "telephone_number": "720-600-0370",
            "fax_number": "720-600-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CARR ST STE B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145986",
            "telephone_number": "720-600-0370",
            "fax_number": "720-600-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAL PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRAL PHYSICAL THERAPY LLC",
        "enumeration_date": "2025-10-21",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "EDMUNDSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-600-0370",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.