Active NPI
Integrative Physical Medicine and Rehabilitation PA
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
National Provider Identifier
1992902415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- M6489
- Legal business name
- INTEGRATIVE PHYSICAL MEDICINE AND REHABILITATION PA
- Practice address
- 2246 Ash Grove Way
Dallas, TX 75228-5385 - Phone
- (972) 201-7988
- Fax
- (972) 201-7988
- NPI assigned
- Jun 28, 2007
- 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
- Lawrence Ahn
- Title
- President
- Phone
- (972) 201-7988
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | M6489 | TX | Primary |
Addresses
Primary practice location
2246 Ash Grove Way
Dallas, TX 75228-5385
Mailing address
PO Box 570492
Dallas, TX 75357-0492
Phone (972) 201-7988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6437750001 | Other | TX | MEDICARE NSC |
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.
-
- Physical Medicine & Rehabilitation Physician
- Nashville, TN
- NPI 1932196946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395878400000",
"number": "1992902415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 570492",
"city": "DALLAS",
"state": "TX",
"postal_code": "753570492",
"telephone_number": "972-201-7988",
"fax_number": "972-201-7988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2246 ASH GROVE WAY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752285385",
"telephone_number": "972-201-7988",
"fax_number": "972-201-7988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE PHYSICAL MEDICINE AND REHABILITATION PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-28",
"last_updated": "2014-03-27",
"status": "A",
"authorized_official_last_name": "AHN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-201-7988"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "M6489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "6437750001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Integrative Pain and Psychiatry PLLC
- Integrative Pain Institute PLLC
- Integrative Pain Management Center PLLC
- Integrative Pediatric Therapy
- Integrative Physiatry, PLLC
- Integrity Healing Touch LLC
- Integrity Home Care Services, Inc.
- Integrity Neurodiagnostics
- Integrity Neuromonitoring
- Integrity Psychiatric Health Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.