Innovative Physiatry Services LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

INNOVATIVE PHYSIATRY SERVICES LLC

Practice address

254 Cedar Swamp Rd
Monson, MA 01057-9307

Phone

(413) 333-8084

Fax

(413) 267-3258

NPI assigned

Mar 17, 2026

Last updated

Mar 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adnan Dahdul, MDNPI 1104802362

Title

Manager

Phone

(413) 219-6121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Maria Labar Elder, MD

  • Physical Medicine & Rehabilitation Physician
  • Ludlow, MA
  • NPI 1720064983
  Medicare reassignment NPD
• Adnan M Dahdul, MD

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1104802362
  NPD Authorized official
• Jennifer M Gross

  • Medical Physician Assistant
  • Ludlow, MA
  • NPI 1952372559
  Medicare reassignment

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1447108527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 CEDAR SWAMP RD",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579307",
            "telephone_number": "413-333-8084",
            "fax_number": "413-267-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CEDAR SWAMP RD",
            "city": "MONSON",
            "state": "MA",
            "postal_code": "010579307",
            "telephone_number": "413-333-8084",
            "fax_number": "413-267-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHYSIATRY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "DAHDUL",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "413-219-6121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Ramey Diggs, M.D.
• Erin Elizabeth Fontaine
• Allison Marie Gendron, OTRL
• Johnnie Dunbar Gross, D.D.S.
• Heritage Hearing Care of New England LLC
• Kristin Mae Klisiewicz, P.T.
• Richard Joseph Koslowski, MSW, LICSW
• Nissa Lempart, RDO
• Samantha Rose Lloyd
• Joseph W Malinoski, RPH

• Physical Medicine & Rehabilitation Physician in Monson, MA
• Providers in Monson, MA by specialty
• Physical Medicine & Rehabilitation Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.