Organization Active NPI

Integrity Therapy Group, LLC

  • Physical Medicine & Rehabilitation Physician
  • Florence, AL
National Provider Identifier
1962554477
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PTH775 Issued in AL
Legal business name
INTEGRITY THERAPY GROUP, LLC
Practice address
302 W Dr Hicks Blvd
Florence, AL 35630-6160
Phone
(256) 764-1442
Fax
(256) 764-1366
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Greg Miles, PT
Title
Owner
Phone
(256) 764-1442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X PTH775 AL Primary

Addresses

Primary practice location

302 W Dr Hicks Blvd
Florence, AL 35630-6160

Mailing address

302 W Dr Hicks Blvd
Florence, AL 35630-6160
Phone (256) 764-1442

Other identifiers 2

IdentifierTypeStateIssuer
529920700MedicaidAL
51523294OtherALBLUE CROSS ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006000162 AL Part B Supplier - Clinic/Group Practice 4981663978 Receives reassigned benefits from 2 practitioners
Practice locations: Florence, AL

National Provider Directory

National Provider Directory

Locations

302 W Dr Hicks Blvd
Florence, AL 35630
Phone (256) 764-1442

416 N Seminary St
Ste 100
Florence, AL 35630
Phone (256) 764-1442

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1962554477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306160",
            "telephone_number": "256-764-1442",
            "fax_number": "256-764-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356306160",
            "telephone_number": "256-764-1442",
            "fax_number": "256-764-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-764-1442",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AL",
            "license": "PTH775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529920700",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "51523294",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.