Organization Active NPI

Innovative Therapies Group Inc

  • Hand Occupational Therapist
  • Wildwood, FL
National Provider Identifier
1982430658
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Legal business name
INNOVATIVE THERAPIES GROUP INC
Practice address
3990 E Sr 44 Ste 202
Wildwood, FL 34785-7482
Phone
(727) 643-8478
NPI assigned
Sep 10, 2024
Last updated
Sep 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Deborah Lea Kacera
Title
Administrator
Phone
(727) 643-8478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X NU Primary

Addresses

Primary practice location

3990 E Sr 44 Ste 202
Wildwood, FL 34785-7482

Mailing address

PO Box 4559
Ocala, FL 34478-4559
Phone (727) 643-8478

National Provider Directory

National Provider Directory
Tax ID family
Innovative Therapies Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3990 E Sr 44
Ste 202
Wildwood, FL 34785
Phone (352) 433-0091

Practitioners & affiliated clinicians

Practitioners 3

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1982430658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4559",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344784559",
            "telephone_number": "727-643-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 E SR 44 STE 202",
            "city": "WILDWOOD",
            "state": "FL",
            "postal_code": "347857482",
            "telephone_number": "727-643-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPIES GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "KACERA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-643-8478"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.