INTEGRACARE LLC (NPI# 1063768455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063768455 |
| Entity Type | Organization |
| Organization Name | INTEGRACARE LLC |
| Practice Address |
5300 W 29th St Greeley CO 80634-8399 |
| Mailing Address |
Po Box 65 Edwards CO 81632-0065 |
| Practice Telephone | 9703536800 |
| Practice Fax Number | 9705064202 |
| Mailing Telephone | 9709776239 |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |
| Authorized Official Name | MR. ANTHONY CAMERON WALLACE (MANAGER) |
| Authorized Official Telephone | 9709776239 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XG0600X |
Occupational Therapist Specialization: Gerontology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | INTEGRACARE LLC | 6502 Trentland Park Dr., Aberdeen, WA 98520 |
| Street Address |
5300 W 29TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-8399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174845473 | Cassandra Blair Lorie | Occupational Therapist | 5300 W 29th St, Greeley, CO 80634-8399 | 2010-02-27 |
| 1578855623 | Amy Leigh Pogorelz | Physical Therapy Assistant | 5300 W 29th St, #14, Greeley, CO 80634-8399 | 2011-05-09 |
| 1487960290 | Haven Doolittle | Physical Therapist | 5300 W 29th St, Greeley, CO 80634-8399 | 2010-08-31 |
| 1467774794 | Claire Suzannah Townsend | Physical Therapist | 5300 W 29th St, Greeley, CO 80634-8399 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730461831 | Jacqueline Nicole Third | Physical Therapist | 1700 18th Ave, Greeley, CO 80631-5134 | 2011-09-14 |
| 1518255975 | Jason Ross Winslow | Physical Therapist | 4617 W 20th St Ste 2a, Greeley, CO 80634-3207 | 2011-07-19 |
| 1174714513 | Marta J. Krause | Physical Therapist | 708 22nd St, Greeley, CO 80631-7041 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159895 | Teri Eldenburg | Physical Therapist | 231 First St, Firestone, CO 80520-1035 | 2017-12-06 |
| 1578094157 | Maryann Bowles | Physical Therapist | 3220 Chandon Ct, Highlands Ranch, CO 80126-8047 | 2017-03-24 |
| 1952854861 | Hope Engel | Physical Therapist | 923 Arapahoe Cir, Louisville, CO 80027-1088 | 2016-07-27 |
| 1346623741 | Julia Cowan | Physical Therapist | 6088 Coors Ct, Arvada, CO 80004-6154 | 2015-07-02 |
| 1790183986 | Lanie Westgard | Physical Therapist | 21479 Grandview Ave, Golden, CO 80401-9421 | 2014-12-20 |
| 1255737441 | Lezah Tabush | Physical Therapist | 1409 Birch St, Montrose, CO 81401-5605 | 2014-11-14 |
| 1609272293 | Julie Anne Sharber | Physical Therapist | 8353 Gray Fox Dr, Evergreen, CO 80439-6259 | 2014-11-10 |
| 1508272014 | Lisa Crowell | Physical Therapist | 10210 Silver Maple Cir, Highlands Ranch, CO 80129-5425 | 2014-07-03 |
| 1487090361 | Cindiman Pinneke | Physical Therapist | 146 Chapman Ln, Durango, CO 81301 | 2013-05-17 |
| 1548606825 | Xiomara I Diaz | Physical Therapist | 709 Keenesburg Ct, Fort Collins, CO 80525-8270 | 2013-05-14 |
| Find all providers with the same taxonomy | ||||
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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.