Innovative Senior Rehabilitation Services Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INNOVATIVE SENIOR REHABILITATION SERVICES INC.

Practice address

3318 Brookside Rd
Stockton, CA 95219-2343

Phone

(209) 951-3770

Fax

(209) 951-3770

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Joy Hadley

Title

VP Cfo

Phone

(916) 690-0757

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Innovative Senior Rehab Doing business as

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310256000000",
    "number": "1164584058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W PINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952402020",
            "telephone_number": "209-368-1009",
            "fax_number": "209-368-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 BROOKSIDE RD",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192343",
            "telephone_number": "209-951-3770",
            "fax_number": "209-951-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR REHABILITATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2011-07-10",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "916-690-0757"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "CH1035",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Senior Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Infinity Home Health/ Hospice
• Jeffrey John Ing, M.D.
• Aracelly Mercedes Inga, FNP-C
• Inland Psychiatric Offices
• Gabriela Inman
• Innovative Senior Rehabilitation Services Inc.
• Innovative Senior Rehabilitation Services, Inc.
• Raquel Leones Inong-Steptoe
• Maywell Lynn Leones Inong, D.D.S.
• Robert Inoshita

• Physical Therapist in Stockton, CA
• Providers in Stockton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2011; 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.