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NPI Code Detail

MEDICARE: INTEGRITY PHYSICAL THERAPY, INC.

MEDICARE: INTEGRITY PHYSICAL THERAPY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1245276146
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTEGRITY PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 2300 COIT RD
Second Line : SUITE 300
City : PLANO
State : TX
Zip : 75075-3769
Country : US
Telephone Number : 469-467-8705
Fax Number : 267-321-2550
Provider Business Practice Location Address
First Line : 20 S CLARK ST
Second Line : 11TH FLOOR
City : CHICAGO
State : IL
Zip : 60603-1882
Country : US
Telephone Number : 312-977-1708
Fax Number : 312-977-1709
Authorized Official
Title or Position : CHIEF COMPLIANCE OFFICEDR
Name : JAYNE FLECK-POOL
Credential :
Telephone Number : 469-467-8705
Provider Enumeration Date : 06/21/2006
Last Update Date : 06/02/2010

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