OrganizationActive
Integrative Rehabilitation Medical LLC
NPI 1548751746 · Customized Equipment (DME) · Melbourne, FL
Provider details
- NPI number
- 1548751746
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Todd O'Dell, Owner/Operator(616) 690-2424
Specialties & taxonomies
Suppliers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
3012 Lake Washington Rd
Melbourne, FL 32934-7613
Phone: (616) 690-2424
Fax: (616) 825-6139
Street-level locationGet directions
Mailing address
1515 Michigan St Ne Ste 115
Grand Rapids, MI 49503-2031
Other names (DBA / former)
- Doing business as
- Integrative Recovery, LLC
Registry dates
- Enumerated
- 2018-05-23
- Last updated
- 2022-08-03
- Certified
- 2022-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.