Innovative Senior Rehabilitation Services, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INNOVATIVE SENIOR REHABILITATION SERVICES, INC.

Practice address

222 W Pine St
Lodi, CA 95240-2020

Phone

(209) 368-1009

Fax

(209) 368-1024

NPI assigned

Dec 18, 2009

Organization subpart

No

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

Authorized official

Name

Elizabeth HadleyNPI 1689736597

Title

VP Cfo

Phone

(916) 690-0757

Specialties & licenses 2

Addresses

Other names 1

• Innovative Senior Rehab Doing business as

Locations

Practitioners 2

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

• Elizabeth Joy Hadley, PT

  • Physical Therapist
  • Lodi, CA
  • NPI 1689736597
  NPD (past) Authorized official
• Nasser C Amilasan, PT

  • Physical Therapist
  • Stockton, CA
  • NPI 1932246576
  NPD (past)

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289088000000",
    "number": "1619206703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W PINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952402020",
            "telephone_number": "209-368-1009",
            "fax_number": "209-368-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W PINE ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952402020",
            "telephone_number": "209-368-1009",
            "fax_number": "209-368-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SENIOR REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2010-11-07",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "916-690-0757"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Senior Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ibne Sina Community Clinic
• Inner Balance Medicine
• Inner Balance Medicine, Acupuncture Corp
• Innovative Senior Rehabilitation Services Inc.
• Innovative Senior Rehabilitation Services Inc.
• Inpatient Services of California, Inc., a Medical Corporation
• Iris VND Partners LLC
• Anthony Isbell
• Roy Tsutomu Ishii, MD
• Nedaa N Issa, M.D.

• Physical Therapist in Lodi, CA
• Providers in Lodi, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2010; 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.