Active NPI
Innovative Rehab Solutions, LLC
- Physical Therapist
- Valdosta, GA
National Provider Identifier
1689638579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- INNOVATIVE REHAB SOLUTIONS, LLC
- Practice address
- 3368 Greystone Way
Valdosta, GA 31605 - Phone
- (229) 242-6670
- Fax
- (229) 242-6671
- NPI assigned
- Apr 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sabrina Palmer
- Title
- Office Manager
- Phone
- (229) 242-6670
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
3368 Greystone Way
Valdosta, GA 31605
Mailing address
3368 Greystone Way
Valdosta, GA 31605
Phone (229) 242-6670
National Provider Directory
National Provider DirectoryLocations
3368 Greystone Way
Valdosta, GA 31605
Phone (229) 242-6670
809 Beacon St
Waycross, GA 31501
Phone (229) 242-6670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597190400000",
"number": "1689638579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3368 GREYSTONE WAY",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31605",
"telephone_number": "229-242-6670",
"fax_number": "229-242-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3368 GREYSTONE WAY",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31605",
"telephone_number": "229-242-6670",
"fax_number": "229-242-6671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE REHAB SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "SABRINA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "229-242-6670"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.