INTEGRATIVE MEDICAL SOLUTIONS, PC (NPI# 1578937579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578937579 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE MEDICAL SOLUTIONS, PC |
| Practice Address |
999 Summer St Suite 205 Stamford CT 06905-5546 |
| Practice Telephone | 2036148600 |
| Practice Fax Number | 2036148598 |
| Mailing Telephone | 2036148600 |
| Mailing Fax Number | 2036148598 |
| Enumeration Date | 2015-11-15 |
| Last Update Date | 2015-11-15 |
| Authorized Official Name | DR. RICHARD CARL KOFFLER (PRESIDENT) |
| Authorized Official Telephone | 9179034531 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
043130 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
999 SUMMER ST SUITE 205 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856020 | James Tulacro | Physician Assistant | 999 Summer St, 304, Stamford, CT 06905-5546 | 2006-01-20 |
| 1598222119 | Lubna Latif | Physician Assistant | 999 Summer St, Stamford, CT 06905-5546 | 2019-03-01 |
| 1750815098 | Mary Coppolo | Nurse Practitioner | 999 Summer St, Suite 304, Stamford, CT 06905-5546 | 2017-04-13 |
| 1700256708 | Big Leaps | Occupational Therapist | 999 Summer St, Suite 104, Stamford, CT 06905-5546 | 2015-10-02 |
| 1346649589 | Mark J. Ostrowski, Psy.d. LLC | Psychologist | 999 Summer St, Suite 200, Stamford, CT 06905-5546 | 2014-08-13 |
| 1962849091 | Comprehensive Neurology and Pain Center of Connecticut (stamford) | Pain Medicine | 999 Summer St, Suite 100, Stamford, CT 06905-5546 | 2013-05-30 |
| 1013263847 | Connecticut Skin Institute | Dermatology | 999 Summer St, Suite 205, Stamford, CT 06905-5546 | 2012-07-30 |
| 1033472568 | Shimrat R Notik | Dermatology | 999 Summer St, Ste 305, Stamford, CT 06905-5513 | 2012-06-19 |
| 1306156385 | Danielle Mckay | Occupational Therapy Assistant | 999 Summer St, Suite 104, Stamford, CT 06905-5546 | 2010-10-08 |
| 1568770428 | Gold Coast Plastic Surgery and Laser Center, LLC | Plastic Surgery | 999 Summer St, Suite 401, Stamford, CT 06905-5546 | 2010-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427125558 | Bertacchi & Associates, PC | Physical Medicine & Rehabilitation | 276 High Ridge Rd, Stamford, CT 06905-3013 | 2006-11-30 |
| 1255785556 | Stephen Massimi Md PC | Physical Medicine & Rehabilitation | 1 Blachley Rd, Stamford, CT 06902-0002 | 2016-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881184109 | Kathryn Marie Malatestinic | Physical Medicine & Rehabilitation | 1500 Lexington Blvd, Bethel, CT 06801-1338 | 2018-05-11 |
| 1932614450 | Connecticut Orthopaedic Specialists, PC | Physical Medicine & Rehabilitation | 1055 Post Rd Ste 4, Fairfield, CT 06824-6019 | 2017-12-06 |
| 1255660817 | Fairfield Sports and Spine LLC | Physical Medicine & Rehabilitation | 650 Clinton Ave, Second Floor, Bridgeport, CT 06605-1704 | 2009-12-10 |
| 1699374074 | Ashleigh Persico | Physical Medicine & Rehabilitation | 130 Maple St, Seymour, CT 06483-3638 | 2020-10-18 |
| 1568078764 | Sydney Marie Judkins | Physical Medicine & Rehabilitation | 1055 Post Rd, Fairfield, CT 06824-6019 | 2020-09-22 |
| 1811354053 | Shannon Webb | Physical Medicine & Rehabilitation | 1 Bradley Rd, Ste 801, Woodbridge, CT 06525-2285 | 2016-01-19 |
| 1285036186 | Orthoconnecticut, PC | Physical Medicine & Rehabilitation | 36 Old Kings Hwy S, Darien, CT 06820-4552 | 2014-09-23 |
| 1225430499 | Orthoconnecticut, PC | Physical Medicine & Rehabilitation | 131 Kings Hwy N, Westport, CT 06880-2439 | 2014-09-19 |
| 1053713222 | Orthoconnecticut, PC | Physical Medicine & Rehabilitation | 761 Main Ave, 115, Norwalk, CT 06851 | 2014-09-19 |
| 1063814242 | Orthoconnecticut, PC | Physical Medicine & Rehabilitation | 30 East Ave, New Canaan, CT 06840-5516 | 2014-09-19 |
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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.