Innovative Physical Therapy Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INNOVATIVE PHYSICAL THERAPY CENTER

Doing business as

Innovative Physical Therapy and Fitness Center

Practice address

627 Spotswood Englishtown Rd Ste 4
Monroe, NJ 08831-3307

Phone

(732) 790-8486

Fax

(732) 966-9516

NPI assigned

Dec 17, 2024

Last updated

Dec 17, 2024By 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

Denise Tavares

Title

Billing Manager

Phone

(732) 790-8486

Specialties & licenses 1

Addresses

Other names 1

• Innovative Physical Therapy and Fitness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 6

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.

• Abigail Bautista, PT, DPT

  • Orthopedic Physical Therapist
  • Monmouth Junction, NJ
  • NPI 1124571765
  Medicare reassignment Care Compare group NPD
• Priyank Patel

  • Physical Therapist
  • Kendall Park, NJ
  • NPI 1093543308
  Medicare reassignment Care Compare group NPD
• Khushboo Patel

  • Physical Therapist
  • East Windsor, NJ
  • NPI 1528413606
  Medicare reassignment Care Compare group
• Preyas Shashankkumar Mehta

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1477827053

  NJ

  Medicare reassignment Care Compare group
• Suresh Babu, PT, DPT, MS

  • Orthopedic Physical Therapist
  • Kendall Park, NJ
  • NPI 1659434538
  Medicare reassignment NPD
• Tanvi S Patel

  • Physical Therapist
  • New York, NY
  • NPI 1053918474

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1497562961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 SPOTSWOOD ENGLISHTOWN RD STE 4",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088313307",
            "telephone_number": "732-790-8486",
            "fax_number": "732-966-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 SPOTSWOOD ENGLISHTOWN RD STE 4",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088313307",
            "telephone_number": "732-790-8486",
            "fax_number": "732-966-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHYSICAL THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "TAVARES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "732-790-8486"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Physical Therapy and Fitness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alice A Higgins
• Stephanie Michelle Hodul, PTA
• Amanda Hunt
• Aijaz Hussain, MD
• Hypertension and Nephrology Specialists LLC
• Amritpal Singh Jagra, DO
• Jamesburg Manor LLC
• Anthony C Jasiecki, MS
• Crystal M Jones
• Sheenu Joseph

• Physical Therapist in Monroe, NJ
• Providers in Monroe, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.