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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 : 1063458982
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 : 75075-3768
Country : US
Telephone Number : 469-467-8705
Fax Number : 267-321-2550
Provider Business Practice Location Address
First Line : 4819 W IRVING PARK RD
Second Line :
City : CHICAGO
State : IL
Zip : 60641-2719
Country : US
Telephone Number : 773-282-9751
Fax Number : 773-282-3209
Authorized Official
Title or Position : CHIEF COMPLIANCE OFFICER
Name : JAYNE FLECK-POOL
Credential :
Telephone Number : 469-467-8705
Provider Enumeration Date : 06/20/2006
Last Update Date : 05/23/2011

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