Organization Active NPI

Innovative Health Inc.

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1982827911
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
103021 Issued in TX
Legal business name
INNOVATIVE HEALTH INC.
Practice address
1408 W Koenig LN
Suite C
Austin, TX 78756-1426
Phone
(512) 407-9355
Fax
(512) 302-4250
NPI assigned
Apr 10, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Michelle Athalie Evans, D.C.
Title
President
Phone
(512) 407-9355

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5925 TX
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 103021 TX Primary

Addresses

Primary practice location

1408 W Koenig LN
Suite C
Austin, TX 78756-1426

Mailing address

1408 W Koenig LN
Suite C
Austin, TX 78756-1426
Phone (512) 407-9355

Other identifiers 1

IdentifierTypeStateIssuer
J74XOtherTXBCBS GROUP #

National Provider Directory

National Provider Directory

Locations

1408 W Koenig Ln
Ste C
Austin, TX 78756
Phone (512) 407-9355

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1982827911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 W KOENIG LN",
            "address_2": "SUITE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561426",
            "telephone_number": "512-407-9355",
            "fax_number": "512-302-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 W KOENIG LN",
            "address_2": "SUITE C",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561426",
            "telephone_number": "512-407-9355",
            "fax_number": "512-302-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ATHALIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-407-9355",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5925",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "103021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "J74X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.