INTEGRATIVE THERAPEUTIC SOLUTIONS LLC NPI 1437880556

NPI Information

  • NPI: 1437880556
  • Provider Name: INTEGRATIVE THERAPEUTIC SOLUTIONS, LLC
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 3200 CRAIN HWY STE 205
    WALDORF, MD
    ZIP 20603
  • Phone: (240) 448-2475

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NPI Details

INTEGRATIVE THERAPEUTIC SOLUTIONS, LLC is a rehabilitation clinic center in Waldorf, MD. INTEGRATIVE THERAPEUTIC SOLUTIONS, LLC NPI is 1437880556. The provider is registered as an organization entity type.

The provider's business location address is:

3200 CRAIN HWY STE 205
WALDORF, MD
ZIP 20603-843
Phone: (240) 448-2475
Fax: (240) 448-2335

The provider's authorized official is Robert L Evans .
The authorized official title is Co-owner and has the following contact phone number (202) 441-7989.

The enumeration date for this NPI number is 6/20/2022 and was last updated on 1/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1891005700MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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