INTEGRATED WELLNESS GROUP LLC
NPI 1366795502
Chiropractor in Bountiful, UT

Q: What is Integrated Wellness Group LLC's NPI number?

The NPI number for Integrated Wellness Group LLC is 1366795502. It was assigned to this organization in the NPPES registry on October 25, 2012.

Q: What is Integrated Wellness Group LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since October 25, 2012

458 N 500 W, BOUNTIFUL, UT 84010(801) 292-9355(801) 296-8050 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Integrated Wellness Group Llc NPPES

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

INTEGRATED WELLNESS GROUP LLC (NPI 1366795502) is a healthcare organization registered as a chiropractor in Bountiful, Utah and active in the NPI registry since October 2012. The organization lists Cory Frogley, Owner, as its authorized official.

NPPES Registry Identity

NPI1366795502

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameINTEGRATED WELLNESS GROUP LLC

Location Address458 N 500 WBountiful, UT 84010-6948

Mailing Address458 N 500 WBountiful, UT 84010-6948 · (801) 292-9355 · Fax (801) 296-8050

Phone(801) 292-9355

Fax(801) 296-8050

Organization SubpartNo

Authorized OfficialCory FrogleyOwner · (801) 292-9355

Enumeration DateOctober 25, 2012

Last NPPES UpdateFebruary 4, 2013

✔ NPI 1366795502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

458 N 500 W, Bountiful, UT 84010

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Integrated Wellness carries, from the Medicare DMEPOS supplier directory.

Integrated Wellness

DMEPOS supplier · Bountiful, UTOperated by Integrated Functional Medicine, LLC

✔

Accepts Medicare assignment

Integrated Wellness agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20510477

Medicare Participant SinceDecember 3, 2013

Supplier Location458 N 500 WBountiful, UT 84010

Phone(801) 292-9355

Supplier Specialties

MSC With Orthotic-Prosthetic

Medicare Product Categories

(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies

Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain

Orthoses: Prefabricated (Non-Custom Fabricated)

Met pads, Heel pads, Heel spur pads

Orthoses: Off-The-Shelf

Met pads, Heel pads, Heel spur pads

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 10

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

DR. CORY M FROGLEY D.C.

Chiropractor