Ortho Integrative Medicine Institute LLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

ORTHO INTEGRATIVE MEDICINE INSTITUTE LLC

Practice address

25749 US Highway 19 N Ste 100
Clearwater, FL 33763-2004

Phone

(855) 724-6727

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Emmett A. Blahnik, DCNPI 1518029230

Title

Owner

Phone

(608) 358-8455

Specialties & licenses 2

Addresses

Other names 1

• Ortho Integrative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ortho Integrative Medicine Institute LLC

  • Integrative Medicine Physician
  • Clearwater, FL
  • NPI 1164331294
  NPPES parent name

Practitioners 2

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

• Emmett Andrew Blahnik, DC

  • Rehabilitation Chiropractor
  • Clearwater, FL
  • NPI 1518029230

  Integrative Medicine

  Medicare reassignment NPD Authorized official
• Travis Fisher, DC

  • Chiropractor
  • Clearwater, FL
  • NPI 1518797596
  NPD

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1972379741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25749 US HIGHWAY 19 N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632004",
            "telephone_number": "855-724-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25749 US HIGHWAY 19 N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337632004",
            "telephone_number": "855-724-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO INTEGRATIVE MEDICINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "BLAHNIK",
        "authorized_official_first_name": "EMMETT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-358-8455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortho Integrative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orlando Family Physicians, LLC
• Daniel A Orlando III, M.D.
• David M. Ortega, L.M.H.C.
• Rishan Ortega, IBCLC
• Ortho Integrative Medicine Institute LLC
• Orthopaedic and Trauma Center
• Orthopaedic Associates of West Florida, PA
• Orthopaedic Associates of West Florida, PA
• Orthopaedic Associates of West Florida, PA
• Orthopaedic Specialties of Tampa Bay Inc

• Integrative Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Integrative Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.