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INTEGRATED PHYSICAL MEDICINE PLLC
NPI 1790067015
Family Medicine in Rockford, MI

Active since September 13, 2011
6769 COURTLAND DR NE, SUITE 100, ROCKFORD, MI 49341(616) 863-9482(616) 863-9486 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrated Physical Medicine Pllc NPPES

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

INTEGRATED PHYSICAL MEDICINE PLLC (NPI 1790067015) is a healthcare organization registered as a family medicine in Rockford, Michigan and active in the NPI registry since September 2011. The organization lists Erik Daniel Stanton, General Manager, as its authorized official.

NPPES Registry Identity

NPI1790067015
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINTEGRATED PHYSICAL MEDICINE PLLC
Location Address6769 COURTLAND DR NE, SUITE 100Rockford, MI 49341-7242
Mailing Address6769 Courtland Dr Ne, Suite 100Rockford, MI 49341-7242 · (616) 863-9482 · Fax (616) 863-9486
Phone(616) 863-9482
Fax(616) 863-9486
Organization SubpartNo
Authorized OfficialErik Daniel StantonGeneral Manager · (616) 863-9482
Enumeration DateSeptember 13, 2011
✔ NPI 1790067015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301059449
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6769 COURTLAND DR NE, Rockford, MI 49341
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

JENNIFER C BOODT LMT
Massage Therapist
6769 COURTLAND DR NE
ROCKFORD, MI 49341
Kent County (616) 863-9482
DR. DORIAN PARENT CHIROPRACTOR
Chiropractor
6769 COURTLAND DR NE, SUITE 100
ROCKFORD, MI 49341
Kent County (616) 863-9482
ERIKA DANIELLE JAWOROWICZ
Massage Therapist
6769 COURTLAND DR NE
ROCKFORD, MI 49341
Kent County (616) 863-9482
CRYSTAL BROWER MASSAGE THERAPIST
Massage Therapist
6769 COURTLAND DR NE
ROCKFORD, MI 49341
Kent County (616) 863-9482

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 Integrated Physical Medicine PLLC's NPI number?

The NPI number for Integrated Physical Medicine PLLC is 1790067015. It was assigned to this organization in the NPPES registry on September 13, 2011.

Where is Integrated Physical Medicine PLLC located?

Integrated Physical Medicine PLLC is located at 6769 Courtland Dr NE Suite 100, Rockford, MI 49341. The listed phone number is (616) 863-9482.

What is Integrated Physical Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Integrated Physical Medicine PLLC was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.