Innovative Senior Rehabilitation Services, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INNOVATIVE SENIOR REHABILITATION SERVICES, INC.

Practice address

9325 E Stockton Blvd
Elk Grove, CA 95624-1282

Phone

(916) 685-4550

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, PT

Title

VP Cfo

Phone

(916) 690-0757

Specialties & licenses 2

Addresses

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": "1289088000000",
    "number": "1316009202",
    "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": "9325 E STOCKTON BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956241282",
            "telephone_number": "916-685-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2010-11-07",
        "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",
        "authorized_official_credential": "PT"
    },
    "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": [
        {
            "organization_name": "Innovative Senior Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria Cristina S Ilao, NP
• Imperial Agency
• Inaksh Johal, D.D.S., Inc.
• Independent Physicians Office Management, Inc.
• Litzy Infante
• Diann Intagliata
• Integrative Recovery & Wellness
• Horia Theodor Ionescu, D.D.S.
• Syeda Hooria Iqbal, PHARMD
• Cherise Irby, PSYD

• Physical Therapist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; 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.