INNOVATIVE SENIOR REHABILITATION SERVICES, INC. (NPI# 1316009202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316009202 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE SENIOR REHABILITATION SERVICES, INC. |
| Other Organization Name | INNOVATIVE SENIOR REHAB |
| Practice Address |
9325 E Stockton Blvd Elk Grove CA 95624-1282 |
| Mailing Address |
222 W Pine St Lodi CA 95240-2020 |
| Practice Telephone | 9166854550 |
| Mailing Telephone | 2093681009 |
| Mailing Fax Number | 2093681024 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2010-11-07 |
| Authorized Official Name | ELIZABETH JOY HADLEY (VP CFO) |
| Authorized Official Telephone | 9166900757 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Innovative Senior Rehab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437472636 | Innovative Senior Rehabilitation Services, Inc. | Occupational Therapist | 517 E Fulton St, Stockton, CA 95204-2251 | 2010-03-02 |
| 1619206703 | Innovative Senior Rehabilitation Services, Inc. | Occupational Therapist | 222 W Pine St, Lodi, CA 95240-2020 | 2009-12-18 |
| Street Address |
9325 E STOCKTON BLVD |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-1282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594288 | Webson Manzana | Physical Therapist | 10155 Cosby Way, Elk Grove, CA 95757-1743 | 2020-09-28 |
| 1528686029 | Cristian Keoni Kanae | Physical Therapist | 9101 Quail Brook Cir, Elk Grove, CA 95624-4060 | 2020-07-10 |
| 1194360149 | Purnima Bathla | Physical Therapist | 9515 Cote Dor Dr, Elk Grove, CA 95624-4645 | 2019-11-14 |
| 1801253067 | Michael Bhim | Physical Therapist | 9215 Fife Ranch Way, Elk Grove, CA 95624-3574 | 2016-01-19 |
| 1114315280 | Beverlee Danielle Cvitanov | Physical Therapist | 9381 E Stockton Blvd Ste 108, Elk Grove, CA 95624-5069 | 2014-12-24 |
| 1427456615 | Trung Tan Pham | Physical Therapist | 8257 Hopewell Dr, Elk Grove, CA 95757-6287 | 2014-12-20 |
| 1417251349 | Joselito Rizaldo Babaran Iringan | Physical Therapist | 9723 Collie Way, Elk Grove, CA 95757-6223 | 2011-01-06 |
| 1467779041 | Adina Lynelle Verrett Myles | Physical Therapist | 9372 Canter Drive, Elk Grove, CA 95624 | 2010-04-22 |
| 1336477827 | Shveta Malhotra | Physical Therapist | 8943 Springhurst Dr, Elk Grove, CA 95624-3243 | 2009-11-23 |
| 1558503417 | Camille Deangelo Avila | Physical Therapist | 9085 Quail Cove Dr, Elk Grove, CA 95624-4059 | 2009-03-24 |
| Find all providers in ELK GROVE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.