OrganizationActive
Integrated Therapy Practice, Inc.
NPI 1962688838 · Physical Medicine & Rehabilitation Physician · Logan, UT
Provider details
- NPI number
- 1962688838
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christine Powell, Owner(435) 755-3113
- License
- 120344-2401 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
189 N 200 E
Logan, UT 84321-4605
Phone: (435) 755-3113
Fax: (435) 755-3123
Street-level locationGet directions
Mailing address
Po Box 411
Logan, UT 84323-0411
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2008-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.