INTEGRATED CARE CLINICS, PA


Address: 1260 Highway 25 S, Monticello, MN 55362-8921
Phone: 7632608401

INTEGRATED CARE CLINICS, PA (NPI# 1396775110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396775110
Entity Type Organization
Organization Name INTEGRATED CARE CLINICS, PA
Other Organization Name GREAT RIVER SPINE & SPORT
Practice Address 1260 Highway 25 S
Monticello
MN 55362-8921
Practice Telephone 7632608401
Practice Fax Number 7632952208
Mailing Telephone 7632638401
Mailing Fax Number 7632635900
Enumeration Date 2006-07-04
Last Update Date 2019-10-18
Authorized Official Name BILL E MICKLE (OWNER)
Authorized Official Telephone 7632608401
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207LP2900X Anesthesiology
Specialization: Pain Medicine
44760 MN Allopathic & Osteopathic Physicians
N 2081P0004X Physical Medicine & Rehabilitation
Specialization: Spinal Cord Injury Medicine
44760 MN Allopathic & Osteopathic Physicians
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
44760 Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
44760 MN Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
R182757-0 MN Physician Assistants & Advanced Practice Nursing Providers
Y 225100000X Physical Therapist 8397 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Great River Spine & Sport Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
751 Rose Dr Ste 108, Big Lake, MN 553098870 7632608401 7632738921

Office Location

Street Address 1260 HIGHWAY 25 S
City MONTICELLO
State MN
Zip Code 55362-8921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245725654 Bethany Clara Rathmanner Physical Therapist 1260 Highway 25 S, Monticello, MN 55362-8921 2018-06-27
1295747889 Big Lake Spine & Sport, Pa Chiropractor 1260 Highway 25 S, Monticello, MN 55362-8921 2006-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275034886 Great River Endodontics Dentist 9381 Cedar St., Monticello, MN 55362 2018-02-28
1467994962 Jessica Borgstrom Advanced Practice Midwife 1001 Hart Blvd #100, Monticello, MN 55362 2016-11-15
1972922078 Ashby Optometry PC Optometrist 1447 East 7th Street, Monticello, MN 55362 2014-04-16
1740612621 Sarah Rowe Physical Therapist 1260 Mn-25, Monticello, MN 55362 2013-08-02
1144573775 Kelley M Mcgowan Physical Therapist 211 Hwy 25, Monticello, MN 55362 2012-10-19
1275801581 Roger William Hedtke Pharmacist 135 East Broadway, Monticello, MN 55362 2011-12-01
1811299019 Pamela Marie Bertram Social Worker 228 W Broadway St, Monticello, MN 55362 2010-11-22
1265768220 Back 2 Health Chiropractic, P.a. Chiropractor 1125 South Cedar St, Suite 109, Monticello, MN 55362 2009-10-27
1538328059 Lakeland Family Dental Dentist 106 Broadway Street East, Monticello, MN 55362 2008-06-09
1205038163 Buffalo Dental Center Dentist 106 1 In A Half W Broadway, Monticello, MN 55362 2007-06-04
Find all providers in zip 55362

Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114552262 Lauren Madsen Physical Therapist 139 Benmosche Rd, Monticello, NY 12701 2020-03-10
1669917787 Regan Colleen White Physical Therapist 1002 W Broadway St, Monticello, IN 47960-1816 2016-12-28
1538519582 Mohamed Mohamed Physical Therapist 40 Monticello St Apt 7, Monticello, NY 12701-1800 2016-06-20
1164895603 Mahrous Mohamed Physical Therapist 50 Harmony Ln, Unit 54, Monticello, NY 12701-7459 2015-11-05
1558760835 Brent Johnson Physical Therapist 1260 State Hwy 25, Monticello, MN 55362-8447 2014-08-22
1215354592 Abdelhalim Zaghloul Nada Physical Therapist 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 2014-03-25
1740612621 Sarah Rowe Physical Therapist 1260 Mn-25, Monticello, MN 55362 2013-08-02
1144664350 Shane Allen Weigand Physical Therapist 55 Sturgis Rd Ste 2, Monticello, NY 12701-1225 2013-04-18
1144573775 Kelley M Mcgowan Physical Therapist 211 Hwy 25, Monticello, MN 55362 2012-10-19
1437480258 Rohit Kesar Physical Therapist 44 Cottage St, Apt 3, Monticello, NY 12701-1266 2010-01-18
Find all providers in MONTICELLO

Competitor

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City MONTICELLO
Zip Code 55362

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Dataset Information

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.

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