INNOVATIVE PHYSICAL THERAPY (NPI# 1750441325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750441325 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE PHYSICAL THERAPY |
| Practice Address |
620 Trace Dr Jackson TN 38305-1584 |
| Practice Telephone | 5015150110 |
| Practice Fax Number | 8704821515 |
| Mailing Telephone | 5015150110 |
| Mailing Fax Number | 8704821515 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-01-23 |
| Authorized Official Name | MR. CHRISTOPHER M. SCHOOLFIELD (OWNER) |
| Authorized Official Telephone | 5015150110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT0000006287 | TN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346372588 | Innovative Physical Therapy | Physical Therapist | 545 N. Carriage Parkway, Wichita, KS 67208-4506 | 2007-03-12 |
| 1225048887 | Innovative Physical Therapy | Physical Therapist | 1605 E Del Mar Blvd Ste 14, Laredo, TX 78041-6517 | 2006-08-08 |
| 1568472082 | Innovative Physical Therapy | Occupational Therapist | 4455 S Padre Island Dr Ste 8, Corpus Christi, TX 78411-5166 | 2006-08-08 |
| 1538603519 | Innovative Physical Therapy | Specialist | 4704 Harlan St, Suite 505, Denver, CO 80212-7415 | 2016-12-12 |
| 1871907618 | Innovative Physical Therapy | Clinic/Center | 214 N Main St, Suite 207, Natick, MA 01760-1131 | 2014-06-19 |
| 1881604502 | Innovative Physical Therapy | Physical Therapist | 4455 S Padre Island Dr Ste 8, Corpus Christi, TX 78411-5166 | 2006-08-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | INNOVATIVE PHYSICAL THERAPY & HEALING ARTS | 485 East Main Street, Suite # 6, Ashland, OR 97520 |
| Washington State Corporations | INNOVATIVE PHYSICAL THERAPY INC. | 300 Deschutes Way Sw Ste 208 Mc-csc1, Tumwater, WA 98501 |
| New York State Corporations | INNOVATIVE PHYSICAL THERAPY OF LONG ISLAND, P.C. | 193 Jericho Tpke., Mineola, New York 11501 |
| Virginia Business Entities | INNOVATIVE PHYSICAL THERAPY PRODUCTS INC. | |
| New York State Corporations | INNOVATIVE PHYSICAL THERAPY SOLUTIONS, P.C. | Top of The Square, 109 Court St, Watertown, Ny 13601 |
| Colorado Business Entities | Innovative Physical Therapy, LLC | 4704 Harlan St, Suite 505, Denver, CO 80212 |
| Street Address |
620 TRACE DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-1584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255943098 | Jackson Hole Sports Recovery LLC | Clinic/Center | 680 S Cache St Ste 100, Jackson, WY 83001-8694 | 2020-08-22 |
| 1528690971 | Excel Therapy of Nj Corp | Clinic/Center | 2080 West Countyline Rd, Jackson, NJ 08527-0870 | 2020-02-04 |
| 1073017935 | W. A. Foote Memorial Hospital, Inc | Clinic/Center | 1100 E Michigan Ave Ste 102, Jackson, MI 49201-1800 | 2018-03-23 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| 1699145490 | Inmotion Rehab, LLC | Clinic/Center | 5140 Galaxie Dr Ste 106, Jackson, MS 39206-4354 | 2015-10-06 |
| 1649613142 | Encore Rehabilitation, Inc. | Clinic/Center | 220 Hospital Dr Bldg B, Jackson, AL 36545-2459 | 2013-04-15 |
| 1730437187 | Unique Surfaces LLC | Clinic/Center | 654 Page Ave, Jackson, MI 49203-1943 | 2012-08-16 |
| 1457656639 | Grace Myofascial Clinic, LLC | Clinic/Center | 3000 Old Canton Rd Ste 240, Jackson, MS 39216-4235 | 2011-01-19 |
| 1699007658 | Andrea Marie Dillon | Clinic/Center | 120 West Pearl Avenue, Jackson, WY 83001 | 2010-02-02 |
| 1821222548 | Developmental Physical Therapy Services, LLC | Clinic/Center | 1355 Hoyt Ln, Jackson, WY 83001-9446 | 2009-05-09 |
| Find all providers in JACKSON | ||||
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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.