Innovative Rehab and Wellness Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0016300 Issued in FL

Legal business name

INNOVATIVE REHAB AND WELLNESS INC

Practice address

575 Sarina Ter SW
Vero Beach, FL 32968-4042

Phone

(772) 696-4883

NPI assigned

Nov 13, 2006

Last updated

May 30, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tavi McLeodNPI 1962573402

Title

VP

Phone

(772) 696-4883

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tavi McLeod

  • Occupational Therapist
  • Vero Beach, FL
  • NPI 1962573402
  Authorized official Same address or phone
• Norma J Vaughan

  • Physical Therapist
  • Vero Beach, FL
  • NPI 1215180948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1063583516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 SARINA TER SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 SARINA TER SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329684042",
            "telephone_number": "772-696-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE REHAB AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "TAVI",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "772-696-4883"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0016300",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ingerto, DPT
• Corey Deangelo Ingram
• Catee Ingwersen
• Rebecca Inman, LMHC
• Yvrose Innocent
• Insight Psychiatry and Wellness
• Integrated Medical Therapy Group LLC (Treasure Coast Pediatrics)
• Integrated Regional Laboratories Pathology Services, LLC
• Integrated Rehabilitation Adult and Pediatrics LLC
• Integrity - Dixie Oak Manor, LLC

• Physical Therapist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.