Innovative Thearpy Services

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05003216 Issued in IN

Legal business name

INNOVATIVE THEARPY SERVICES

Practice address

430 W Cleveland Rd.
B23
Granger, IN 46530

Phone

(574) 243-9640

Fax

(574) 243-9640

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Glenda M BrownNPI 1437222080

Title

PT

Phone

(574) 255-1712

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenda M. Brown, PT

  • Physical Therapist
  • Granger, IN
  • NPI 1437222080
  NPD (past) Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1508034315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54658 OAK LEAF CT",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451862",
            "telephone_number": "574-255-1712",
            "fax_number": "574-255-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W CLEVELAND RD.",
            "address_2": "B23",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "46530",
            "telephone_number": "574-243-9640",
            "fax_number": "574-243-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THEARPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "574-255-1712"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05003216",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Hurst, PH.D., HSPP
• Aleta Lynn Hurt, M.S., LMHC
• Troy Eugene Hurtt, LMT
• Ilana T. Kirsch, M.D. LLC
• Indiana Pain and Spine Clinic Corporation
• Inspirational Life Counseling LLC
• Intrigue Counseling
• Augustine Ehimen Iriogbe
• Sherri Temple Isaak, MS, CDE
• Felpur Elumba Jabian, D.P.T.

• Physical Therapist in Granger, IN
• Providers in Granger, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.