NPIMap

Organization Active NPI

Innovative Physical Therapy

  • Physical Therapist
  • Corpus Christi, TX
National Provider Identifier
1881604502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1090991 Issued in TX
Legal business name
INNOVATIVE PHYSICAL THERAPY
Practice address
4455 S Padre Island Dr Ste 8
Corpus Christi, TX 78411-5166
Phone
(361) 855-8004
Fax
(361) 986-0751
NPI assigned
Aug 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christina Ener
Title
Administrator
Phone
(361) 855-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT1090991 TX Primary

Addresses

Primary practice location

4455 S Padre Island Dr Ste 8
Corpus Christi, TX 78411-5166

Mailing address

4455 S Padre Island Dr Ste 8
Corpus Christi, TX 78411-5166
Phone (361) 855-8004

National Provider Directory

National Provider Directory
Tax ID family
Innovative Physical Therapy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881604502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 8",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115166",
            "telephone_number": "361-855-8004",
            "fax_number": "361-986-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PADRE ISLAND DR STE 8",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784115166",
            "telephone_number": "361-855-8004",
            "fax_number": "361-986-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-855-8004"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "PT1090991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.