Integrated Chiropractic and Physical Therapy Associates PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008846 Issued in NY

Legal business name

INTEGRATED CHIROPRACTIC AND PHYSICAL THERAPY ASSOCIATES PLLC

Practice address

10 E 21St St Ste 1106
New York, NY 10010-7181

Phone

(212) 475-8104

Fax

(212) 475-4443

NPI assigned

May 16, 2012

Last updated

Jun 12, 2019By 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

Kelly-Ann Flynn

Title

Office Manager

Phone

(212) 475-8104

Specialties & licenses 3

Addresses

Other identifiers 4

Practitioners 3

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.

• Khadija Conley

  • Physician Office Based Coding Specialist
  • New York, NY
  • NPI 1801449004
  NPD
• Simone Floyd, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1730664897
  NPD (past)
• Andrew Nicholas Simpson, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1922721299
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1962762591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 21ST ST STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107181",
            "telephone_number": "212-475-8104",
            "fax_number": "212-475-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 21ST ST STE 1106",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107181",
            "telephone_number": "212-475-8104",
            "fax_number": "212-475-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CHIROPRACTIC AND PHYSICAL THERAPY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "KELLY-ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "212-475-8104"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008846",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "440113063",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "1083891741",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1730664897",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "1740788504",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1295204923",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.