Integrated Therapy Practice, Inc.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

120344-2401 Issued in UT

Legal business name

INTEGRATED THERAPY PRACTICE, INC.

Practice address

189 N 200 E
Logan, UT 84321-4605

Phone

(435) 755-3113

Fax

(435) 755-3123

NPI assigned

Jan 10, 2008

Last updated

Jan 10, 2008By 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

Christine Carolyn Powell, M.ED.,P.T.NPI 1518182930

Title

Owner

Phone

(435) 755-3113

Specialties & licenses 1

Addresses

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.

• Christine Carolyn Powell, P.T., M.ED.

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1518182930
  NPD (past) Authorized official

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1962688838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843230411",
            "telephone_number": "435-755-3113",
            "fax_number": "435-755-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 N 200 E",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214605",
            "telephone_number": "435-755-3113",
            "fax_number": "435-755-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-755-3113",
        "authorized_official_credential": "M.ED.,P.T."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "UT",
            "license": "120344-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ihc Health Services Inc (Budge Clinic Radiology)
• Ihc Health Services Inc (South Cache Valley Clinic)
• Ihc Health Services Inc (Logan Hospitalists)
• Ihc Health Services, Inc
• Richard J Ingebretsen, MD
• Integrated Whiplash Recovery Group
• Integrity BC Inc (Aegis Home Health)
• Integrity Hospice, LLC. (Aegis Home Health and Hospice)
• Interwest Comprehensive Pain Center
• Deborah Christine Ireland, PA-C

• Physical Medicine & Rehabilitation Physician in Logan, UT
• Providers in Logan, UT by specialty
• Physical Medicine & Rehabilitation Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.