OrganizationActive
Integrative Physical Medicine of Lake Mary LLC
NPI 1043637861 · Specialist · Lake Mary, FL
Integrative Physical Medicine of Lake Mary LLC is a Specialist organization in Lake Mary, FL (NPI 1043637861).
Provider details
- NPI number
- 1043637861
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Parent organization
- Integrative Physical Medicine Holding LLC
- Organization subpart
- Yes
- Authorized official
- Marc Ott, President(407) 792-0705
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1343 S International Pkwy
Lake Mary, FL 32746-1401
Phone: (407) 792-0705
Fax: (407) 792-0710
Street-level locationGet directions
Mailing address
1343 S International Pkwy
Lake Mary, FL 32746-1401
Registry dates
- Enumerated
- 2014-03-19
- Last updated
- 2016-06-01
Frequently asked questions
- What is Integrative Physical Medicine of Lake Mary LLC's NPI number?
- Integrative Physical Medicine of Lake Mary LLC's National Provider Identifier (NPI) is 1043637861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrative Physical Medicine of Lake Mary LLC?
- Integrative Physical Medicine of Lake Mary LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Integrative Physical Medicine of Lake Mary LLC located?
- Integrative Physical Medicine of Lake Mary LLC's practice location on file with NPPES is 1343 S International Pkwy, Lake Mary, FL 32746-1401.
- What is Integrative Physical Medicine of Lake Mary LLC's phone number?
- The practice phone number listed in the NPPES registry for Integrative Physical Medicine of Lake Mary LLC is (407) 792-0705.
- Who is the authorized official for Integrative Physical Medicine of Lake Mary LLC?
- The authorized official listed on Integrative Physical Medicine of Lake Mary LLC's NPPES record is Marc Ott, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrative Physical Medicine of Lake Mary LLC's NPI active?
- Yes — Integrative Physical Medicine of Lake Mary LLC's NPI (1043637861) is active in the NPPES registry as of the last update on 2016-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.