INTEGRATIVE PHYSICAL MEDICINE OF METRO WEST LLC (NPI# 1245748052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245748052 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE PHYSICAL MEDICINE OF METRO WEST LLC |
| Other Organization Name | INTEGRATIVE PHYSICAL MEDICINE |
| Practice Address |
1743 Park Center Dr Ste 200 Orlando FL 32835-7621 |
| Practice Telephone | 4074400844 |
| Practice Fax Number | 4074409766 |
| Mailing Telephone | 4074400844 |
| Mailing Fax Number | 4074409766 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-09-10 |
| Authorized Official Name | DR. BRET GENTER SCHEUPLEIN (OWNER) |
| Authorized Official Telephone | 4072216690 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Integrative Physical Medicine | Doing Business As Name - Organization |
| Street Address |
1743 PARK CENTER DR STE 200 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-7621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1063982338 | Carmelo Baez | Specialist | 4700 Millenia Blvd Ste 175-601, Orlando, FL 32839-6013 | 2018-11-29 |
| 1033651971 | Lake Family Practice | Specialist | 1317 N Pine Hills Rd, Orlando, FL 32808-4833 | 2016-11-09 |
| 1104297670 | Latrisha Catrell Grant | Specialist | 6463 Livewood Oaks Dr, Orlando, FL 32818-2735 | 2015-10-09 |
| 1437531308 | Jsk Jsn LLC | Specialist | 14807 E Colonial Dr, Suite 112, Orlando, FL 32826-5122 | 2015-06-26 |
| 1295117372 | Brent Lawson Barker | Specialist | 4166 Oak St, Orlando, FL 32814-6133 | 2015-06-24 |
| 1003212861 | Total Md Orthopedics & Neurosurgery LLC | Specialist | 401 W Colonial Dr, Suite 3b, Orlando, FL 32804-6830 | 2014-11-06 |
| 1609278597 | Sand Lake Cancer Center, Pa | Specialist | 7301 Stonerock Cir Ste 2, Orlando, FL 32819-8004 | 2014-09-23 |
| 1598164451 | Onsite Medical Group LLC | Specialist | 3200 W Colonial Dr, Orlando, FL 32808-8023 | 2014-08-17 |
| 1871903450 | Healthcheck Medical, Inc. | Specialist | 5 E Colonial Dr, Orlando, FL 32801-1215 | 2014-05-05 |
| Find all providers in ORLANDO | ||||
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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.