Innovative Physical Therapy Services Inc in Mooresville - Pediatrics
Innovative Physical Therapy Services Inc - NPI 1336148279
Innovative Physical Therapy Services Inc is a Pediatrics in Mooresville, North Carolina. Innovative Physical Therapy Services Inc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Innovative Physical Therapy Services Inc is 1336148279. The last update date is 2020-08-22.
Innovative Physical Therapy Services Inc's current location address is 503 Canvasback Rd, Mooresville, North Carolina. You can contact this provider via phone number 7047999791 and fax number 7047992687. The mailing address for Innovative Physical Therapy Services Inc is 503 Canvasback Rd, Mooresville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Innovative Physical Therapy Services Inc |
|---|---|
| Address | 503 Canvasback Rd, Mooresville, North Carolina |
| Phone Number | 7047999791 |
| Fax Number | 7047992687 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DIRE |
|---|---|
| Authorized Official Name | Dzikowski J Shirley |
| Credentials | PT |
| Telephone Number | 7047999791 |
NPI Number Detail
| NPI Number | 1336148279 |
|---|---|
| Provider Enumeration Date | 2005-07-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 503 Canvasback Rd |
|---|---|
| City | Mooresville |
| State | North Carolina (NC) |
| Post Code | 28117 |
| Phone Number | 7047999791 |
| Fax Number | 7047992687 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 6107 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0149J | NC | BCBS | |
| 5194701 | CIGNA | ||
| 6443822 | NC | UNITED HEALTHCARE | |
| 7210608 | NC | -- | |
| 32633 | NC | PARTNERS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Innovative Physical Therapy Services Inc by the Centers for Medicare & Medicaid Services?
The Innovative Physical Therapy Services Inc has been issued the NPI (National Provider Identifier) 1336148279, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Innovative Physical Therapy Services Inc is located?
The Innovative Physical Therapy Services Inc is situated at the following address: 503 Canvasback Rd, Mooresville, NC, 28117.
What is Innovative Physical Therapy Services Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Innovative Physical Therapy Services Inc is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 2251P0200X.
On what date did the Innovative Physical Therapy Services Inc receive its 1336148279 assignment from the Centers for Medicare & Medicaid Services?
The Innovative Physical Therapy Services Inc was assigned its 1336148279 by the Centers for Medicare & Medicaid Services on 2005-07-20.
When was the Innovative Physical Therapy Services Inc's information last updated?
The Innovative Physical Therapy Services Inc's information was last updated on 2020-08-22.