Innovative Suit Therapy and Fitness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INNOVATIVE SUIT THERAPY AND FITNESS, LLC

Practice address

70493 Highway 21 Ste 600
Covington, LA 70433-7018

Phone

(985) 792-7700

Fax

(985) 247-8220

NPI assigned

Apr 1, 2009

Last updated

Aug 6, 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

Carrie Deluca Deluca GlahnNPI 1548676174

Title

Physical Therapist

Phone

(985) 792-7700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 7

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.

• Carrie Deluca Glahn, DPT

  • Physical Therapist
  • Covington, LA
  • NPI 1548676174
  Medicare reassignment Care Compare group NPD Authorized official
• Austin Glahn

  • Physical Therapist
  • Mandeville, LA
  • NPI 1457099921

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Melissa S Pettavino, PT, MPT

  • Physical Therapist
  • Covington, LA
  • NPI 1548391121

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Breanna Robbins

  • Occupational Therapist
  • Covington, LA
  • NPI 1437823135
  Medicare reassignment Care Compare group NPD
• Carly Elizabeth Eberts, LOTR

  • Occupational Therapist
  • Covington, LA
  • NPI 1396343232
  NPD (past)
• Hope Jacques

  • Speech-Language Pathologist
  • Covington, LA
  • NPI 1457717092
  NPD (past)
• Lea Anne Krieger, PT, MPT

  • Physical Therapist
  • Covington, LA
  • NPI 1013451285
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1679715981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70493 HIGHWAY 21 STE 600",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337018",
            "telephone_number": "985-792-7700",
            "fax_number": "985-247-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70493 HIGHWAY 21 STE 600",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337018",
            "telephone_number": "985-792-7700",
            "fax_number": "985-247-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SUIT THERAPY AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "DELUCA GLAHN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "DELUCA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "985-792-7700"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": "04135",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Gene Ingolia, M.D., FACP
• Tara Trapani Ingraham, CRNA
• Imelda Velasco Ingram, RN
• Kristin Ingram
• Melissa A Inman, MD
• Integrated Medical Services Cov LLC
• Interim Healthcare Personal Care Services Inc.
• Intra-Op Monitoring Services, LLC
• George Franco Isa, MD
• Isd Renal Inc (Covington Trace Dialysis)

• Physical Therapy Clinic/Center in Covington, LA
• Providers in Covington, LA by specialty
• Physical Therapy Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.