Organization Active NPI

Integrated Spine and Physical Therapy Inc

  • Chiropractor
  • Wesley Chapel, FL
National Provider Identifier
1972142552
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTEGRATED SPINE AND PHYSICAL THERAPY INC
Practice address
3717 Turman Loop Ste 101a
Wesley Chapel, FL 33544-7794
Phone
(813) 994-5200
Fax
(813) 994-5700
NPI assigned
Dec 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Dr. Robert Boyd Amis Jr., DCNPI 1699823070
Title
Owner
Phone
(574) 536-9511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3717 Turman Loop Ste 101a
Wesley Chapel, FL 33544-7794

Mailing address

31609 Holcomb Pass
Wesley Chapel, FL 33543-5210
Phone (574) 536-9511

National Provider Directory

National Provider Directory

Locations

3717 Turman Loop
Ste 101A
Wesley Chapel, FL 33544
Phone (813) 994-5200

Practitioners & affiliated clinicians

Practitioners 1

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": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1972142552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31609 HOLCOMB PASS",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335435210",
            "telephone_number": "574-536-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 TURMAN LOOP STE 101A",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447794",
            "telephone_number": "813-994-5200",
            "fax_number": "813-994-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SPINE AND PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "AMIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-536-9511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.