Organization Active NPI

Innovative Medical Therapies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bethpage, NY
National Provider Identifier
1073745709
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INNOVATIVE MEDICAL THERAPIES, INC.
Practice address
600 Hicksville Rd
Bethpage, NY 11714-3453
Phone
(516) 931-6300
Fax
(516) 931-6348
NPI assigned
Aug 13, 2009
Last updated
Aug 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Mr. Michael Clinton
Title
President
Phone
(860) 633-5263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

600 Hicksville Rd
Bethpage, NY 11714-3453

Mailing address

212 New London Tpke
Suite a
Glastonbury, CT 06033-4202
Phone (860) 633-5263

National Provider Directory

National Provider Directory

Locations

212 New London Tpke
Ste A
Glastonbury, CT 06033

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1073745709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NEW LONDON TPKE",
            "address_2": "SUITE A",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334202",
            "telephone_number": "860-633-5263",
            "fax_number": "516-931-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143453",
            "telephone_number": "516-931-6300",
            "fax_number": "516-931-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE MEDICAL THERAPIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-633-5263",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.