IBW GROUP, LLC (NPI# 1295045938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295045938 |
| Entity Type | Organization |
| Organization Name | IBW GROUP, LLC |
| Other Organization Name | INTEGRATED BODY WORK |
| Practice Address |
272 Sw Alachua Ave Lake City FL 32025 |
| Mailing Address |
Po Box 2313 Lake City FL 32056 |
| Practice Telephone | 3867198887 |
| Practice Fax Number | 3867196880 |
| Mailing Telephone | 3867198887 |
| Mailing Fax Number | 3867196880 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |
| Authorized Official Name | BRIAN J LEWIS (OWNER) |
| Authorized Official Telephone | 3867198887 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60365 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Integrated Body Work | Doing Business As Name - Organization |
| Street Address |
272 SW ALACHUA AVE |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083911887 | Dottie A Hartman | Massage Therapist | 272 Sw Alachua Ave, Lake City, FL 32025-7010 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376082743 | Barbara Garcia | Massage Therapist | 155 Se Cypress Hollow Gln, Lake City, FL 32025-2336 | 2017-02-18 |
| 1316482300 | Suzanne Smith | Massage Therapist | 102 B S. Main St, Lake City, MI 49651 | 2016-12-29 |
| 1184094450 | Susan Anne Spiker | Massage Therapist | 955 Sw Baya Dr, Lake City, FL 32025-4210 | 2015-09-30 |
| 1831570167 | Carolyn Michelle Heimbuch | Massage Therapist | 211 S Carolyn Dr, Lake City, MI 49651-8501 | 2015-06-11 |
| 1205231537 | Jennifer Percell | Massage Therapist | 1009 Sw Main Blvd, Suite 110, Lake City, FL 32025-5781 | 2014-10-29 |
| 1417254210 | Rachel Danette Lewis | Massage Therapist | 322 S Marion Ave, Lake City, FL 32025-7064 | 2011-02-15 |
| 1487967824 | Amanda Lyn Collins | Massage Therapist | 1219 Sw Main Blvd, Lake City, FL 32025-6685 | 2010-07-14 |
| 1023346368 | Angel C Bowen | Massage Therapist | 275 N Marion Ave, Lake City, FL 32055-2864 | 2009-11-25 |
| 1831424167 | Cynthia Austin Mobley | Massage Therapist | 122 Sw Sweetbay Ct, Lake City, FL 32024-0738 | 2009-10-05 |
| 1922252139 | Barbee Lorane Kight | Massage Therapist | 618 S Marion Ave, 105, Lake City, FL 32025-5841 | 2008-11-14 |
| Find all providers in LAKE CITY | ||||
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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.