Innovative Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INNOVATIVE PHYSICAL THERAPY LLC

Practice address

99 W Martial Ave
Lafayette, LA 70508-6583

Phone

(337) 408-8000

Fax

(337) 408-8002

NPI assigned

Jun 6, 2017

Last updated

Jun 6, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

INNOVATIVE PHYSICAL THERAPY LLCAs reported in NPPES

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

Authorized official

Name

Ilyas Munshi, MDNPI 1740397306

Title

Owner

Phone

(337) 234-5344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

Innovative Physical Therapy

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.

• Derek T David, P.T.

  • Physical Therapist
  • Lafayette, LA
  • NPI 1972534063
  Medicare reassignment NPD
• Ilyas Munshi, M.D.

  • Neurological Surgery Physician
  • Lafayette, LA
  • NPI 1740397306
  NPD (past) Authorized official

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496707200000",
    "number": "1265961049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82510",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705982510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W MARTIAL AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086583",
            "telephone_number": "337-408-8000",
            "fax_number": "337-408-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE PHYSICAL THERAPY LLC",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A",
        "authorized_official_last_name": "MUNSHI",
        "authorized_official_first_name": "ILYAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-234-5344",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James C Ingram Jr., MD
• Inhale, LLC
• Madhulika Injeti
• Innovative Express Pharmacy LLC
• Innovative Healthcare Products, LLC
• Insight Guidance Group
• Inspire & Focus, LLC
• Insulinic LLC
• Insulinic of Lafayette LLC
• Insulinic of Louisiana

• Physical Therapy Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.