Innovative Rehabilitation Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INNOVATIVE REHABILITATION CENTER

Doing business as

Innovative Physical Therapy

Practice address

1199 Amboy Ave
Edison, NJ 08837-2552

Phone

(908) 721-1906

NPI assigned

Feb 10, 2016

Last updated

Feb 10, 2016By 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

Dr. Shawn A Davis, PT, DPT

Title

Partner

Phone

(908) 403-3273

Specialties & licenses 1

Addresses

Other names 1

• Innovative Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1609234228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHPOINT DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372552",
            "telephone_number": "908-721-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "908-403-3273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inman Dental Care PC
• Inner-Peace Psychiatry LLC
• Innercore
• Innovative Diagnostics Laboratory LLC
• Innovative Physical Therapy and Fitness Center Inc
• Innovative Urology Associates P.a.
• Innovative Urology P.a.
• Insightful Care Solutions
• Insightful Care Solutions
• Instacare Home Health Solutions LLC.

• Physical Therapy Clinic/Center in Edison, NJ
• Providers in Edison, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.