INTEGRATED WELLNESS GROUP LLC
NPI 1366795502
Chiropractor in Bountiful, UT
NPI Status: Active since October 25, 2012
Contact Information
458 N 500 W
BOUNTIFUL, UT
ZIP 84010
Phone: (801) 292-9355
Fax: (801) 296-8050
- Organization
- Chiropractor
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 46D2100011
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-05-2027
About INTEGRATED WELLNESS GROUP LLC
This page provides the complete NPI Profile along with additional information for Integrated Wellness Group Llc, a provider established in Bountiful, Utah operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1366795502 assigned on October 2012. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Cory Frogley Dc (Owner)
- NPI
- 1366795502
- Provider Name
- INTEGRATED WELLNESS GROUP LLC
- Entity Type
- Organization
- Location Address
- 458 N 500 W BOUNTIFUL, UT 84010
- Location Phone
- (801) 292-9355
- Location Fax
- (801) 296-8050
- Mailing Address
- 458 N 500 W BOUNTIFUL, UT 84010
- Mailing Phone
- (801) 292-9355
- Mailing Fax
- (801) 296-8050
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2012
- Last Update Date
- 02-04-2013
- Code Navigator
A chiropractor like Integrated Wellness Group Llc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Integrated Wellness Group Llc is a medicare supplier with PTAN 20510477 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20510477
- Accepts Medicare Assignment
- YES
- Specialities List
- MSC With Orthotic-Prosthetic.
- Competitive Bidding
- NO
Supplies List
- (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
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 46D2100011
- Facility Type
- Physician Office
- Certificate Effective Date
- August 06, 2025
- Certificate Expiration Date
- August 05, 2027
- Laboratory Director
- LAURA PRATER GEOGHEGAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Integrated Wellness Group Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366795502, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
BOUNTIFUL, UT 84010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366795502, enumerated as an "organization" on October 25, 2012.
The provider is located at 458 N 500 W BOUNTIFUL, UT 84010 and the phone number is (801) 292-9355.
Chiropractor with taxonomy code 111N00000X.
