INTEGRATED BODY THERAPEUTICS LLC (NPI# 1295004612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295004612 |
| Entity Type | Organization |
| Organization Name | INTEGRATED BODY THERAPEUTICS LLC |
| Practice Address |
1111 Sw 10th St Suite A Newport OR 97365-5205 |
| Practice Telephone | 5412704309 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | DR. KENNETH STANLEY BISHOP (MEMBER) |
| Authorized Official Telephone | 5412704309 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 3854 | OR | Chiropractic Providers |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
817822-95 | OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INTEGRATED BODY THERAPEUTICS LLC | 530 Nw 3rd St, Ste A, Newport, OR 97365 |
| Street Address |
1111 SW 10TH ST SUITE A |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114577111 | Linn Harrar | Physical Therapist | 1111 Sw 10th St, Newport, OR 97365-5235 | 2019-09-12 |
| 1629546270 | Rebecca Sinnhuber | Health Educator | 1111 Sw 10th St, Newport, OR 97365-5235 | 2018-11-12 |
| 1336657519 | Dustin Robert Royse | Specialist/Technologist, Other | 1111 Sw 10th St, Newport, OR 97365-5235 | 2018-01-22 |
| 1730631706 | Samaritan Health Services, Inc. | Clinic/Center | 1111 Sw 10th St, Newport, OR 97365-5235 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720476005 | White County Medical Center | Clinic/Center | 1200 Mclain St, Newport, AR 72112-3534 | 2015-01-08 |
| 1770910499 | Independent Physical Therapy | Clinic/Center | 112 Newport Towne Ctr, Newport, TN 37821-7360 | 2013-09-27 |
| 1679889786 | Benchmark Healthcare Services LLC | Clinic/Center | 132 Newport Towne Ctr, Newport, TN 37821-7360 | 2010-08-26 |
| 1033386263 | Independent Physical Therapy | Clinic/Center | 132 Newport Towne Ctr, Newport, TN 37821-7360 | 2008-05-16 |
| 1891831764 | Aquidneck Medical Associates, Inc | Clinic/Center | 50 Memorial Blvd, Newport, RI 02840 | 2007-01-29 |
| 1770684672 | The New London Hospital Association, Inc. | Clinic/Center | 11 John Stark Hwy, Newport, NH 03773 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113306 | Harney District Hospital | Clinic/Center | 271 N Egan Ave, Burns, OR 97720-1733 | 2020-07-31 |
| 1922583616 | Wvp Medical Group, LLC | Clinic/Center | 2995 Ryan Dr Se Ste 200, Salem, OR 97301-5157 | 2018-09-27 |
| 1588153076 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3060 Se Hawthorne Blvd, Portland, OR 97214-4121 | 2018-05-09 |
| 1942718457 | Mid-columbia Medical Center | Clinic/Center | 1815 E 19th St Ste 1, The Dalles, OR 97058-3385 | 2018-01-18 |
| 1255844908 | Affordable Health Care & Chiropractic Inc | Clinic/Center | 2130 Se 96th Ave, Portland, OR 97216-2603 | 2017-11-15 |
| 1710402532 | Edge Medical Services Inc | Clinic/Center | 19800 Village Office Ct Ste 15, Bend, OR 97702-1872 | 2017-08-14 |
| 1699167239 | Community Wellness Center | Clinic/Center | 1995 8th Ave, West Linn, OR 97068-4604 | 2015-02-19 |
| 1730518754 | Rebecca Berzow Nd | Clinic/Center | 15455 Nw Greenbrier Pkwy Ste 100, Beaverton, OR 97006-7357 | 2013-11-12 |
| 1659605707 | University Professional Services | Clinic/Center | 2858 Eberlein Ave, Klamath Falls, OR 97603-4402 | 2009-09-22 |
| 1770769424 | Adapt Training | Clinic/Center | 9923 Sw Arctic Dr, Beaverton, OR 97005-4194 | 2008-01-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.