NPIMap

Organization Active NPI

Innovative Therapy Solutions, PLLC

  • Speech-Language Pathologist
  • Morristown, TN
National Provider Identifier
1356494496
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2558 Issued in TN
Legal business name
INNOVATIVE THERAPY SOLUTIONS, PLLC
Practice address
436A W 1St North St
Morristown, TN 37814-4641
Phone
(423) 586-1214
Fax
(423) 587-8136
NPI assigned
Jan 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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

Authorized official

Name
Angelina CarterNPI 1871598656
Title
President
Phone
(423) 586-1214

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT5718 TN
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT2742 TN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP2558 TN Primary

Addresses

Primary practice location

436A W 1St North St
Morristown, TN 37814-4641

Mailing address

436A W 1St North St
Morristown, TN 37814-4641
Phone (423) 586-1214

Other identifiers 1

IdentifierTypeStateIssuer
5441194MedicaidTN

National Provider Directory

National Provider Directory

Locations

436 W 1st North St
#A
Morristown, TN 37814
Phone (423) 586-1214

1833 W Morris Blvd
Ste 101
Morristown, TN 37813

Practitioners & affiliated clinicians

Practitioners 9

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": "1169251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232150400000",
    "number": "1356494496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436A W 1ST NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144641",
            "telephone_number": "423-586-1214",
            "fax_number": "423-587-8136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436A W 1ST NORTH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378144641",
            "telephone_number": "423-586-1214",
            "fax_number": "423-587-8136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2009-01-17",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-586-1214"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT5718",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT2742",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP2558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441194",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2009; 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.