Innovative Physical Therapy

LBN: Innovative Physical Therapy
Innovative Physical Therapy is an health care organization with primary practice located at 545 N. Carriage Parkway , Wichita KS 67208-4506. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Innovative Physical Therapy can be contacted via phone (316) 612-4900, or through Gohari, Farah M via phone (316) 612-4900.

Contact Information

Primary practice address
545 N. Carriage Parkway Wichita KS 67208-4506
Phone: (316) 612-4900
Fax: (316) 612-4999
Website:
Map and Directions
Authorized official contact:
Name: Gohari, Farah M Physical Therapist (PT)
Phone: (316) 612-4900

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1102277 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1103492 Kansas

Profile Details

NPI number 1346372588
LBN Legal business name Innovative Physical Therapy
DBA Doing business as
Authorized official Gohari, Farah M Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Nov 2nd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346372588 NPPES
Kansas MEDICAID 100336410B

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