Innovative Therapy P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

622860000 Issued in TX

Legal business name

INNOVATIVE THERAPY P.C.

Practice address

13747 Montfort Dr Ste 160
Dallas, TX 75240-4454

Phone

(214) 225-8530

Fax

(888) 816-3627

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mary L. Thomas, PTNPI 1811005531

Title

Ceo

Phone

(214) 225-8530

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Innovative Therapy P.C.

  dba Innovative Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1336907260
  NPPES parent name

Practitioners 2

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.

• Mary L. Thomas, PT

  • Physical Therapist
  • Dallas, TX
  • NPI 1811005531
  Medicare reassignment NPD Authorized official
• Deborah Lyons Liggett, PT

  • Physical Therapist
  • Lubbock, TX
  • NPI 1841582624
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1679681290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404454",
            "telephone_number": "214-225-8530",
            "fax_number": "888-816-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13747 MONTFORT DR STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404454",
            "telephone_number": "214-225-8530",
            "fax_number": "888-816-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-05-01",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-225-8530",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "622860000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87740901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innovative Infusions, LLC (Paragon Infusion Centers)
• Innovative Lifeskills Training Center LLC
• Innovative Medical Solutions Inc (Advanced Hemorrhoid solutions)
• Innovative Pain Solutions
• Innovative Therapy P.C. (Innovative Medical Supplies)
• Inpatient Physician Associates PLLC
• Inpatient Services of California a Medical Corporation
• Inpatient Services of Tennessee
• Inside Out Collaborative, PLLC
• Insight & Change

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.