NPIMap

Organization Active NPI

Innovate Physical & Occupational Therapy PLLC

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1417537622
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INNOVATE PHYSICAL & OCCUPATIONAL THERAPY PLLC
Practice address
3221 Highway 6
Sugar Land, TX 77478-4366
Phone
(281) 916-6575
Fax
(281) 916-6585
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Dominic Joseph, MOT, MBA, COMT, CHTNPI 1396038790
Title
Co-Ceo and Occupational Therapist
Phone
(281) 380-4340

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

3221 Highway 6
Sugar Land, TX 77478-4366

Mailing address

3221 Highway 6
Sugar Land, TX 77478-4366
Phone (281) 916-6575

Other practice location 1

8145 Highway 6 Ste 300
Missouri City, TX 77459-6726
Phone (281) 270-2280

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Austin Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210922001045 TX DME Supplier - Independently-Practicing Occupational Therapist 3577960327 Practice locations: Sugar Land, TX
O20220124001337 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3577960327 Receives reassigned benefits from 3 practitioners
Practice locations: Missouri City, TX; Sugar Land, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Innovate Physical Occupati2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1417537622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784366",
            "telephone_number": "281-916-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 HIGHWAY 6",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784366",
            "telephone_number": "281-916-6575",
            "fax_number": "281-916-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8145 Highway 6 Ste 300",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774596726",
            "country_code": "US",
            "telephone_number": "281-270-2280",
            "fax_number": "281-916-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INNOVATE PHYSICAL & OCCUPATIONAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "CO-CEO AND OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "281-380-4340",
        "authorized_official_credential": "MOT, MBA, COMT, CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Austin",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "86 Genova Way Ln",
            "city": "Missouri City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774591165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.