Organization Active NPI

Innovation Therapy, LLC

Doing business as Innovation Therapy

  • Clinic/Center
  • Washington, IN
National Provider Identifier
1871367185
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INNOVATION THERAPY, LLC
Doing business as
Innovation Therapy
Practice address
102 E Van Trees St
Washington, IN 47501-2943
Phone
(812) 698-5422
Fax
(877) 389-9006
NPI assigned
Nov 8, 2023
Last updated
Nov 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Authorized official

Name
Adria Hawthorne, MSOT, OTR
Title
Owner, Occupational Therapist
Phone
(812) 698-5422

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

102 E Van Trees St
Washington, IN 47501-2943

Mailing address

15532 US Highway 231
Loogootee, IN 47553-4942
Phone (812) 709-9129

Other names 1

  • Innovation Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1871367185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15532 US HIGHWAY 231",
            "city": "LOOGOOTEE",
            "state": "IN",
            "postal_code": "475534942",
            "telephone_number": "812-709-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E VAN TREES ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012943",
            "telephone_number": "812-698-5422",
            "fax_number": "877-389-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "ADRIA",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "812-698-5422",
        "authorized_official_credential": "MSOT, OTR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovation Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.