Provider Demographics
NPI:1467846279
Name:INTEGRATED ORTHOPEDIC PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:INTEGRATED ORTHOPEDIC PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCCAULEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-992-2131
Mailing Address - Street 1:334 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2331
Mailing Address - Country:US
Mailing Address - Phone:413-992-2131
Mailing Address - Fax:413-992-2134
Practice Address - Street 1:334 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2331
Practice Address - Country:US
Practice Address - Phone:413-992-2131
Practice Address - Fax:413-992-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy