Innova Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INNOVA PHYSICAL THERAPY LLC

Practice address

8630 164TH Ave NE
Suite 203
Redmond, WA 98052-3606

Phone

(425) 658-4980

NPI assigned

Aug 14, 2014

Last updated

Nov 11, 2020By 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

Krista Hamar

Title

Clinic Director

Phone

(425) 658-4977

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 19

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.

• Drashtee Ashwin Bauva

  • Physical Therapist
  • Bellevue, WA
  • NPI 1144938200
  Medicare reassignment Care Compare group
• Edmond Gordon, DPT

  • Physical Therapist
  • Bothell, WA
  • NPI 1902282122
  Medicare reassignment Care Compare group
• Ashley Melton, PT

  • Physical Therapist
  • Redmond, WA
  • NPI 1912377292
  Medicare reassignment Care Compare group
• Sarah Joy White, PT, DPT

  • Physical Therapist
  • Seattle, WA
  • NPI 1861006546
  Medicare reassignment Care Compare group
• Kinsey Winter, PT

  • Physical Therapist
  • Redmond, WA
  • NPI 1225870827
  Medicare reassignment Care Compare group
• Michelle Colleen Bickel, PT, DPT

  • Physical Therapist
  • Kirkland, WA
  • NPI 1285241372
  Medicare reassignment
• Richard Kevin Bonilla

  • Physical Therapist
  • Redmond, WA
  • NPI 1851873558
  Medicare reassignment
• Lisa Marie Buchart, DPT, COMT

  • Physical Therapist
  • Redmond, WA
  • NPI 1740263136
  Medicare reassignment
• Madison Haley Engel

  • Physical Therapist
  • Redmond, WA
  • NPI 1013591387
  Medicare reassignment
• Caroline Felix, PT

  • Physical Therapist
  • Seattle, WA
  • NPI 1538706106
  Medicare reassignment
• Kristin Elizabeth Howe, PT, DPT

  • Physical Therapist
  • Redmond, WA
  • NPI 1467753426
  Medicare reassignment
• Heidi R McGill, DPT

  • Physical Therapist
  • Redmond, WA
  • NPI 1295901544
  Medicare reassignment

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1497154504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 164TH AVE NE",
            "address_2": "SUITE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523606",
            "telephone_number": "425-658-4980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 164TH AVE NE",
            "address_2": "SUITE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523606",
            "telephone_number": "425-658-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVA PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "HAMAR",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "425-658-4977"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daphna Inbar Rosman
• Ines Taylor Brown, PLLC
• Infinity Sports Rehab
• Infintiy Rehab
• Connie A Innis, MD
• Integrated Health PLLC (Integrated Health Center)
• Integrated Rehabilitation Group Inc (Redmond Ridge Physical & Hand Therapy)
• Interlake Medical Center, PLLC
• Invenia Therapeutic & Consultation Services, LLC
• Irene Chasen DDS PLLC (Chasen Smiles)

• Physical Therapist in Redmond, WA
• Providers in Redmond, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.