Organization Active NPI

Structural Therapeutic Integration, Inc.

  • Specialist
  • Mount Dora, FL
National Provider Identifier
1992272322
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
STRUCTURAL THERAPEUTIC INTEGRATION, INC.
Practice address
17521 US Highway 441
Mount Dora, FL 32757-6737
Phone
(352) 638-0391
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Ms. Joanne Ruth Bellow, LMBTWNERNPI 1376720300
Title
President
Phone
(352) 638-0391

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

17521 US Highway 441
Mount Dora, FL 32757-6737

Mailing address

13024 Yale Bluff Dr
Grand Island, FL 32735-8956
Phone (352) 638-0391

National Provider Directory

National Provider Directory

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": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1992272322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13024 YALE BLUFF DR",
            "city": "GRAND ISLAND",
            "state": "FL",
            "postal_code": "327358956",
            "telephone_number": "352-638-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17521 US HIGHWAY 441",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576737",
            "telephone_number": "352-638-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURAL THERAPEUTIC INTEGRATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "BELLOW",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-638-0391",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMBTWNER"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Dora, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.