INTEGRA THERAPEUTIC MASSAGE, LLC
NPI 1376159178
Clinic/Center - Physical Therapy in Orange Park, FL

Active since September 17, 2020
1871 WELLS RD STE 300, ORANGE PARK, FL 32073(904) 612-4588(904) 260-3011 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Integra Therapeutic Massage, Llc NPPES

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

INTEGRA THERAPEUTIC MASSAGE, LLC (NPI 1376159178), doing business as Integra Physical Therapy And Massage, is a healthcare organization registered as a physical therapy in Orange Park, Florida and active in the NPI registry since September 2020. The organization maintains 2 additional practice locations and lists Darlene Tan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376159178
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameINTEGRA THERAPEUTIC MASSAGE, LLC
Location Address1871 WELLS RD STE 300Orange Park, FL 32073-2350
Mailing Address8257 Seven Mile DrPonte Vedra Beach, FL 32082-3132 · (904) 612-4588
Fax(904) 260-3011
Organization SubpartNo
Authorized OfficialDarlene TanAdministrator · (904) 612-4588
Enumeration DateSeptember 17, 2020
Last NPPES UpdateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
NPI 1376159178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical TherapistTaxonomy 225100000X
1871 WELLS RD STE 300, Orange Park, FL 32073

Other Names 1

Doing Business AsIntegra Physical Therapy And Massage

Secondary Practice Locations 2

Location 16144 Gazebo Park Pl S Ste 101Jacksonville, FL 32257-1086 · Phone (904) 612-4588 · Fax (904) 260-4849
Location 22425 Dunn Ave Ste 1Jacksonville, FL 32218-4603 · Phone (904) 612-4588 · Fax (904) 260-4849

Other Identifiers 6

Medicaid1174800221FL
Medicaid1285070532FL
OtherPTA27875FL · State Of Florida Department Of Health
OtherPT6934FL · State Of Florida Department Of Health
OtherPT8535FL · State Of Florida Department Of Health
OtherPT10897FL · State Of Florida Department Of Health

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Integra Therapeutic Massage, LLC's NPI number?

The NPI number for Integra Therapeutic Massage, LLC is 1376159178. It was assigned to this organization in the NPPES registry on September 17, 2020. The provider is doing business as Integra Physical Therapy And Massage.

Where is Integra Therapeutic Massage, LLC located?

Integra Therapeutic Massage, LLC is located at 1871 Wells Rd Ste 300, Orange Park, FL 32073. The listed phone number is (904) 612-4588.

What is Integra Therapeutic Massage, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Integra Therapeutic Massage, LLC was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.