Organization Active NPI

Innovative Therapy Services Inc.

Doing business as The Therapy Place

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1467505594
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
025507892 Issued in KY
Legal business name
INNOVATIVE THERAPY SERVICES INC.
Doing business as
The Therapy Place
Practice address
173 Sears Ave
#181
Louisville, KY 40207-5059
Phone
(502) 893-0050
Fax
(502) 893-0049
NPI assigned
Jan 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian A Iadarola, OTRL
Title
Executive Director
Phone
(502) 893-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 025507892 KY Primary

Addresses

Primary practice location

173 Sears Ave
#181
Louisville, KY 40207-5059

Mailing address

173 Sears Ave
#181
Louisville, KY 40207-5059
Phone (502) 893-0050

Other identifiers 1

IdentifierTypeStateIssuer
3300098500MedicaidKY

Other names 1

  • The Therapy Place Doing business as

National Provider Directory

National Provider Directory

Locations

173 Sears Ave
Ste 181
Louisville, KY 40207
Phone (502) 893-0050

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": "1598054400000",
    "number": "1467505594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SEARS AVE",
            "address_2": "#181",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075059",
            "telephone_number": "502-893-0050",
            "fax_number": "502-893-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 SEARS AVE",
            "address_2": "#181",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075059",
            "telephone_number": "502-893-0050",
            "fax_number": "502-893-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IADAROLA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "502-893-0050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "025507892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300098500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Therapy Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.