Innovative Physical Therapy Services Inc
LBN: Innovative Physical Therapy Services Inc
Innovative Physical Therapy Services Inc is an health care organization with primary practice located at 503 Canvasback Rd , Mooresville NC 28117. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as the primary health care specialty.
Innovative Physical Therapy Services Inc can be contacted via phone (704) 799-9791, or through Dzikowski, Shirley J via phone (704) 799-9791.
Contact Information
Primary practice address
503 Canvasback Rd
Mooresville NC 28117
Phone: (704) 799-9791
Fax: (704) 799-2687
Website:
Authorized official contact:
Name: Dzikowski, Shirley J Physical Therapist (PT)
Phone: (704) 799-9791
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 6107 | North Carolina |
Profile Details
| NPI number | 1336148279 |
|---|---|
| LBN Legal business name | Innovative Physical Therapy Services Inc |
| DBA Doing business as | |
| Authorized official | Dzikowski, Shirley J Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336148279 | NPPES |
| North Carolina | Other | 0149J | BCBS |
| North Carolina | Other | 5194701 | BCBS |
| North Carolina | Other | 6443822 | BCBS |
| North Carolina | MEDICAID | 7210608 | BCBS |
| North Carolina | Other | 32633 | BCBS |
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