Organization Active NPI

Innovative Work Solutions, LLC

  • Specialist
  • Shadyside, OH
National Provider Identifier
1386851442
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0800577 Issued in OH
Legal business name
INNOVATIVE WORK SOLUTIONS, LLC
Practice address
24 West 39TH Street
Room 201
Shadyside, OH 43947
Phone
(740) 671-3188
Fax
(740) 671-3187
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Mark Stephen Basich, P.T.
Title
President
Phone
(740) 671-3188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0800577 OH Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 0800577 OH

Addresses

Primary practice location

24 West 39TH Street
Room 201
Shadyside, OH 43947

Mailing address

24 West 39TH Street
Room 201
Shadyside, OH 43947
Phone (740) 671-3188

Other identifiers 1

IdentifierTypeStateIssuer
550777912-00OtherOHIO BUREAU WORKERS COMP

National Provider Directory

National Provider Directory

Locations

24 W 39th St
Rm 201
Shadyside, OH 43947
Phone (740) 671-3188

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1386851442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WEST 39TH STREET",
            "address_2": "ROOM 201",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "43947",
            "telephone_number": "740-671-3188",
            "fax_number": "740-671-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WEST 39TH STREET",
            "address_2": "ROOM 201",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "43947",
            "telephone_number": "740-671-3188",
            "fax_number": "740-671-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE WORK SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "BASICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-671-3188",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "0800577",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "0800577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BUREAU WORKERS COMP",
            "identifier": "550777912-00",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shadyside, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.