Provider Demographics
NPI:1871615898
Name:INTEGRITY REHAB & THERAPY SERVICES INC.
Entity type:Organization
Organization Name:INTEGRITY REHAB & THERAPY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:P T
Authorized Official - Phone:334-269-4724
Mailing Address - Street 1:1725 W 4TH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1509
Mailing Address - Country:US
Mailing Address - Phone:334-269-4724
Mailing Address - Fax:334-269-4725
Practice Address - Street 1:1725 W 4TH ST
Practice Address - Street 2:STE 200
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1509
Practice Address - Country:US
Practice Address - Phone:334-269-4724
Practice Address - Fax:334-269-4725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51521130OtherBCBS AL #