INTEGRATIVE PHYSICAL MEDICINE OF DAYTON
NPI 1952777039
General Practice in Centerville, OH

Active since August 12, 2015
1504 YANKEE PARK PL, CENTERVILLE, OH 45458(937) 424-3068 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Integrative Physical Medicine Of Dayton NPPES

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

INTEGRATIVE PHYSICAL MEDICINE OF DAYTON (NPI 1952777039) is a healthcare organization registered as a general practice in Centerville, Ohio and active in the NPI registry since August 2015. The organization lists Tim Dooley, President, as its authorized official.

NPPES Registry Identity

NPI1952777039
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATIVE PHYSICAL MEDICINE OF DAYTON
Location Address1504 YANKEE PARK PLCenterville, OH 45458-1878
Mailing Address1504 Yankee Park PlCenterville, OH 45458-1878 · (937) 424-3068
Organization SubpartNo
Authorized OfficialTim DooleyPresident · (937) 424-3068
Enumeration DateAugust 12, 2015
✔ NPI 1952777039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1504 YANKEE PARK PL, Centerville, OH 45458

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrative Physical Medicine Of Dayton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Integrative Physical Medicine Of Dayton, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Chiropractic
NPI 1013140664
1504 YANKEE PARK PL
Centerville, OH 45458
(937) 424-3068
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659758860
1504 YANKEE PARK PL
Dayton, OH 45458
(937) 424-3068
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1023355112
1504 YANKEE PARK PL
Centerville, OH 45458
(937) 424-3068
✔ Accepts MedicareSame address
Internal Medicine
NPI 1518907146
974 N 21ST ST
Newark, OH 43055
(833) 510-4357
✔ PECOS✔ Accepts Medicare99 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Physical Medicine Of Dayton's NPI number?

The NPI number for Integrative Physical Medicine Of Dayton is 1952777039. It was assigned to this organization in the NPPES registry on August 12, 2015.

Where is Integrative Physical Medicine Of Dayton located?

Integrative Physical Medicine Of Dayton is located at 1504 Yankee Park Pl, Centerville, OH 45458. The listed phone number is (937) 424-3068.

What is Integrative Physical Medicine Of Dayton's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Integrative Physical Medicine Of Dayton enrolled in Medicare?

Yes. Integrative Physical Medicine Of Dayton is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Physical Medicine Of Dayton?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Integrative Physical Medicine Of Dayton, in Chiropractic, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Integrative Physical Medicine Of Dayton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Integrative Physical Medicine Of Dayton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Integrative Physical Medicine Of Dayton was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.