Active NPI
Structural Therapeutic Integration, Inc.
- Specialist
- Mount Dora, FL
National Provider Identifier
1992272322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Joanne Ruth Bellow, LMBTWNER
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryPractitioners & 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.