Innovation Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INNOVATION PHYSICAL THERAPY, LLC

Practice address

37451 Kingsburn Dr
Livonia, MI 48152-2687

Phone

(734) 462-9300

Fax

(734) 462-9301

NPI assigned

Apr 29, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Laura K. Ahmad

Title

President

Phone

(248) 888-1958

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mitesh Bhavsar

  • Physical Therapist
  • Northville, MI
  • NPI 1376789560
  NPD (past)

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248739200000",
    "number": "1760626162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531424",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481531424",
            "telephone_number": "734-462-9300",
            "fax_number": "734-462-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37451 KINGSBURN DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522687",
            "telephone_number": "734-462-9300",
            "fax_number": "734-462-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-07-28",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-888-1958",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinity Primary Care PLLC
• Infinity Primary Care PLLC
• Infinity Primary Care PLLC
• Infinity Primary Care, PLLC
• Lanard Ingram
• Innovative Concepts
• Inpatient Consultants of Kentucky, PSC
• Inpatient Consultants of Michigan PC
• Inpatient Consultants of Michigan PC
• Inpatient Consultants of Michigan, P.C.

• Physical Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.