PHILADELPHIA INTEGRATIVE MEDICINE
NPI 1083035653
Clinic/Center in Wayne, PA

Active since December 26, 2013
200 EAGLE RD STE 208, WAYNE, PA 19087(888) 702-7974(888) 702-7974 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2020, Feb 12, 2020, Jul 12, 2016 (3 updates tracked since 2016).

About Philadelphia Integrative Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILADELPHIA INTEGRATIVE MEDICINE (NPI 1083035653) is a healthcare organization registered as a clinic/center in Wayne, Pennsylvania and active in the NPI registry since December 2013. The organization lists Georgia Katherine Tetlow, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1083035653
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINTEGRATIVE REHABILITATION PLLC
Location Address200 EAGLE RD STE 208Wayne, PA 19087-3115
Mailing Address200 Eagle Rd Ste 208Wayne, PA 19087-3115 · (888) 702-7974 · Fax (888) 702-7974
Fax(888) 702-7974
Organization SubpartNo
Authorized OfficialGeorgia Katherine TetlowCeo/owner · (888) 702-7974
Enumeration DateDecember 26, 2013
Last NPPES UpdateMarch 26, 20203 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
NPI 1083035653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
200 EAGLE RD STE 208, Wayne, PA 19087

Other Names 1

Doing Business AsPhiladelphia Integrative Medicine

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nutritionist
200 EAGLE RD STE 208
WAYNE, PA 19087
Nurse Practitioner (Family)
200 EAGLE RD STE 208
WAYNE, PA 19087

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrative Rehabilitation PLLC's NPI number?

The NPI number for Integrative Rehabilitation PLLC is 1083035653. It was assigned to this organization in the NPPES registry on December 26, 2013. The provider is doing business as Philadelphia Integrative Medicine.

Where is Integrative Rehabilitation PLLC located?

Integrative Rehabilitation PLLC is located at 200 Eagle Rd Ste 208, Wayne, PA 19087. The listed phone number is (888) 702-7974.

What is Integrative Rehabilitation PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Integrative Rehabilitation PLLC was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.