INNOVATIVE SENIOR REHAB
NPI 1164584058
Physical Therapist in Stockton, CA

Active since December 15, 2006
3318 BROOKSIDE RD, STOCKTON, CA 95219(209) 951-3770(209) 951-3770 Get Directions Write a Review

NPPES record last updated: July 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Senior Rehab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE SENIOR REHAB (NPI 1164584058) is a healthcare organization registered as a physical therapist in Stockton, California and active in the NPI registry since December 2006. The organization lists Elizabeth Joy Hadley, Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1164584058
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameINNOVATIVE SENIOR REHABILITATION SERVICES INC.
Location Address3318 BROOKSIDE RDStockton, CA 95219-2343
Mailing Address222 W Pine StLodi, CA 95240-2020 · (209) 368-1009 · Fax (209) 368-1024
Fax(209) 951-3770
Organization SubpartNo
Authorized OfficialElizabeth Joy HadleyVp Cfo · (916) 690-0757
Enumeration DateDecember 15, 2006
Last NPPES UpdateJuly 10, 2011
NPI 1164584058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
3318 BROOKSIDE RD, Stockton, CA 95219

Other Names 1

Doing Business AsInnovative Senior Rehab

Other Identifiers 2

Medicare PINZZZ17913ZCA
OtherCH1035CA · Railroad Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
3318 BROOKSIDE RD
STOCKTON, CA 95219

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Senior Rehabilitation Services Inc.'s NPI number?

The NPI number for Innovative Senior Rehabilitation Services Inc. is 1164584058. It was assigned to this organization in the NPPES registry on December 15, 2006. The provider is doing business as Innovative Senior Rehab.

Where is Innovative Senior Rehabilitation Services Inc. located?

Innovative Senior Rehabilitation Services Inc. is located at 3318 Brookside Rd, Stockton, CA 95219. The listed phone number is (209) 951-3770.

What is Innovative Senior Rehabilitation Services Inc.'s specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Innovative Senior Rehabilitation Services Inc. was last updated on July 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.