FLAGSTAFF INTEGRATED THERAPIES LLC (NPI# 1669778510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669778510 |
Entity Type | Organization |
Organization Name | FLAGSTAFF INTEGRATED THERAPIES LLC |
Practice Address |
1515 N Main St Suite B Flagstaff AZ 86004-4923 |
Practice Telephone | 9287744111 |
Practice Fax Number | 8886074763 |
Mailing Telephone | 9287744111 |
Mailing Fax Number | 8886074763 |
Enumeration Date | 2011-02-09 |
Last Update Date | 2016-09-08 |
Authorized Official Name | DR. JAMES MICHAEL WITTEKIND (PHYSICAL THERAPIST/OWNER&OPERATOR) |
Authorized Official Telephone | 9287744111 |
Authorized Official Credential | PT, DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
6167 | AZ | Ambulatory Health Care Facilities |
Street Address |
1515 N MAIN ST SUITE B |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86004-4923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992005045 | James Michael Wittekind | Physical Therapist | 1515 N Main St, Suite B, Flagstaff, AZ 86004-4923 | 2010-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
Find all providers in zip 86004 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770110801 | Mobile Physical Therapy Pllc | Clinic/Center | 112 N Elden St, Flagstaff, AZ 86001-5295 | 2020-03-26 |
1972003283 | Carrie Schuessler Dba New Path Physical Therapy | Clinic/Center | 2501 N 4th St Ste 24, Flagstaff, AZ 86004-3724 | 2018-02-14 |
1770616609 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 120 West Fine Street, Flagstaff, AZ 86001 | 2007-03-13 |
1336194745 | Carter Rehabilitation LLC | Clinic/Center | 1300 S Milton Rd, Suite 125, Flagstaff, AZ 86001-6398 | 2006-05-24 |
1215931126 | Flagstaff Physical Therapy PC | Clinic/Center | 715 N Beaver St, Flagstaff, AZ 86001 | 2005-06-08 |
1881010064 | Kara Tate Physical Therapy, LLC | Clinic/Center | 2398 N Keystone Dr, Flagstaff, AZ 86004-7193 | 2014-03-11 |
1801119029 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 1110 E Route 66, Suite 100, Flagstaff, AZ 86001-4771 | 2010-03-02 |
1144495557 | Robert Wayne Miller II | Clinic/Center | 515 N Beaver St, Flagstaff, AZ 86001-3042 | 2008-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568079523 | Trailhead Health & Rehab LLC | Clinic/Center | 1838 W Parkside Ln Ste 110, Phoenix, AZ 85027-1370 | 2020-09-24 |
1073129698 | Dynamic Performance and Recovery, LLC | Clinic/Center | 7800 E Pierce St, Scottsdale, AZ 85257-4606 | 2020-09-18 |
1073129821 | Epperson Physical Therapy Pllc | Clinic/Center | 5375 E Seven Palms Dr, Cave Creek, AZ 85331-2153 | 2020-09-17 |
1518572072 | A Wise Move Physical Therapy and Pilates, Pllc | Clinic/Center | 10130 N Oracle Rd Ste 120-130, Tucson, AZ 85704-7646 | 2020-09-11 |
1518592351 | Foothills Sports Medicine & Physical Therapy - 91st Ave-olive | Clinic/Center | 9069 W Olive Ave Ste 105, Peoria, AZ 85345-9124 | 2020-03-11 |
1922644681 | Apexnetwork Wellton LLC | Clinic/Center | 28873 Commerce Way, Wellton, AZ 85356-7058 | 2019-11-18 |
1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
1760025621 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1700 E Elliot Rd Ste 16, Tempe, AZ 85284-1650 | 2019-10-23 |
1649811498 | Urgentmed House Call LLC | Clinic/Center | 2224 W Clarendon Ave, Phoenix, AZ 85015-5435 | 2019-10-03 |
1750931267 | Life Clinic of Az PC | Clinic/Center | 2580 E Camelback Rd, Phoenix, AZ 85016-4204 | 2019-09-17 |
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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.