Provider Demographics
NPI:1740331354
Name:INTEGRATED THERAPY SERVICES, LLC
Entity type:Organization
Organization Name:INTEGRATED THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OTR
Authorized Official - Prefix:
Authorized Official - First Name:AUGUSTO
Authorized Official - Middle Name:IVAN
Authorized Official - Last Name:ARANGUREN
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR/L CST C/NDT
Authorized Official - Phone:520-981-0166
Mailing Address - Street 1:P.O. BOX 42173
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-2173
Mailing Address - Country:US
Mailing Address - Phone:520-471-0283
Mailing Address - Fax:520-327-5182
Practice Address - Street 1:3920 E 5TH ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-1917
Practice Address - Country:US
Practice Address - Phone:520-471-0283
Practice Address - Fax:520-327-5182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2081P0010X, 1744G0900X, 224Z00000X, 225100000X, 225700000X, 2355S0801X, 235Z00000X, 261QX0100X
AZ4668225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineGroup - Single Specialty
No1744G0900XOther Service ProvidersSpecialistGraphics DesignerGroup - Single Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ595093OtherAHCCCS
AZ841967OtherAHCCCS
AZ563398OtherAHCCCS
AZ164737OtherAHCCCS
AZ801119OtherAHCCCS