Innovative Ergonomics and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INNOVATIVE ERGONOMICS AND WELLNESS

Practice address

14 Mill Park CT Ste C
Newark, DE 19713-2262

Phone

(302) 388-9835

NPI assigned

Apr 23, 2024

Last updated

Apr 23, 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

Michele Marie Keough, PTA, CEASNPI 1669707527

Title

Member/Manager

Phone

(302) 388-9835

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michele Keough

  • Physical Therapist
  • Wilmington, DE
  • NPI 1669707527
  NPD Authorized official

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1871348821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FENWICK AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198043615",
            "telephone_number": "302-388-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MILL PARK CT STE C",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132262",
            "telephone_number": "302-388-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE ERGONOMICS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "KEOUGH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "302-388-9835",
        "authorized_official_credential": "PTA, CEAS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Elizabeth Ingram, NP-C
• Galicano Fernando Inguito Jr., MD
• Galicano Kai Labio Inguito III, MD
• Antony Leslie Innasimuthu, MD
• Innovations Home Health Agency
• Innovative Physical Therapy & Fitness of Delaware LLC (Innovative Healthcare Centers)
• Inpatient Consultants of Maryland, P.C.
• Inpatient Consultants of Maryland, P.C.
• Inpatient Consultants of Maryland, P.C.
• Inpatient Consultants of Pennsylvania PC

• Physical Therapy Clinic/Center in Newark, DE
• Providers in Newark, DE by specialty
• Physical Therapy Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.