Organization Active NPI

Innovative Therapy P.C.

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
National Provider Identifier
1336907260
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INNOVATIVE THERAPY P.C.
Practice address
13747 Montfort Dr Ste 160
Dallas, TX 75240-4497
Phone
(214) 225-8530
Fax
(888) 816-3627
NPI assigned
Mar 6, 2024
Organization subpart
Yes
Parent organization
INNOVATIVE THERAPY P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Mary L. Thomas, PTNPI 1811005531
Title
Ceo
Phone
(214) 225-8530

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 1

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

Addresses

Primary practice location

13747 Montfort Dr Ste 160
Dallas, TX 75240-4497

Mailing address

13747 Montfort Dr Ste 160
Dallas, TX 75240-4497
Phone (214) 225-8530

Other names 1

  • Innovative Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Part of
Innovative Therapy Inc

Locations

3107 Center Point Dr
Edinburg, TX 78539
Phone (956) 618-1626

224 N McColl Rd
Ste G
McAllen, TX 78501
Phone (956) 994-1700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1336907260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404497",
            "telephone_number": "214-225-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404497",
            "telephone_number": "214-225-8530",
            "fax_number": "888-816-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INNOVATIVE THERAPY P.C.",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-225-8530",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.