Innovative Physical Therapy & Fitness Of Delaware LLC
Rehabilitation Practitioner in Newark, DE. Organization (NPI-2).
NPI number1083407993
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1083407993
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Physical Therapy & Fitness Of Delaware LLC
- Organization subpart
- No
- Enumeration date
- May 23, 2025
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Other names
- Innovative Healthcare Centers (Doing Business As)
Practice location
14 Mill Park CtNewark, DE 19713-2262
Phone 443-512-8337 · Fax 443-327-5282
Mailing address
9526 Philadelphia RdRosedale, MD 21237-4106
Phone 443-512-8337 · Fax 443-327-5282
Authorized official
Bryan Morrow
Owner
4435128337
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