NPIMap

Organization Active NPI

Innovative Senior Rehabilitation Services Inc.

  • Physical Therapist
  • Lodi, CA
National Provider Identifier
1184786089
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INNOVATIVE SENIOR REHABILITATION SERVICES INC.
Practice address
311 W Turner Rd
Lodi, CA 95240-0517
Phone
(209) 367-5812
Fax
(209) 367-5812
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Elizabeth Joy HadleyNPI 1689736597
Title
VP Cfo
Phone
(916) 690-0757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

311 W Turner Rd
Lodi, CA 95240-0517

Mailing address

8147 Lakespring Way
Sacramento, CA 95828-6354
Phone (916) 690-0757

National Provider Directory

National Provider Directory

Locations

311 W Turner Rd
Lodi, CA 95240
Phone (209) 334-3763

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1184786089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 LAKESPRING WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958286354",
            "telephone_number": "916-690-0757",
            "fax_number": "916-714-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W TURNER RD",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952400517",
            "telephone_number": "209-367-5812",
            "fax_number": "209-367-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR REHABILITATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-11-30",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.