1. Home
  2. Directory
  3. North Carolina
  4. Mooresville
  5. Physical Therapist
  6. NPI Profile

INNOVATIVE PHYSICAL THERAPY SERVICES INC
NPI 1336148279
Physical Therapist - Pediatrics in Mooresville, NC

Active since July 20, 2005
503 CANVASBACK RD, MOORESVILLE, NC 28117(704) 799-9791(704) 799-2687 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Innovative Physical Therapy Services Inc NPPES

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

INNOVATIVE PHYSICAL THERAPY SERVICES INC (NPI 1336148279) is a healthcare organization registered as a pediatrics in Mooresville, North Carolina and active in the NPI registry since July 2005. The organization lists Shirley J Dzikowski, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1336148279
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameINNOVATIVE PHYSICAL THERAPY SERVICES INC
Location Address503 CANVASBACK RDMooresville, NC 28117
Mailing Address503 Canvasback RdMooresville, NC 28117 · (704) 799-9791 · Fax (704) 799-2687
Phone(704) 799-9791
Fax(704) 799-2687
Organization SubpartNo
Authorized OfficialShirley J DzikowskiOwner/director · (704) 799-9791
Enumeration DateJuly 20, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336148279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NC · 6107
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
503 CANVASBACK RD, Mooresville, NC 28117
Open in Google Maps ↗

Other Identifiers 5

Medicaid7210608NC
Other5194701Cigna
Other0149JNC · Bcbs
Other32633NC · Partners
Other6443822NC · United Healthcare

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Physical Therapy Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innovative Physical Therapy Services Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shirley Dzikowski, P.T.
Physical Therapist in Private Practice
NPI 1184667321
503 CANVASBACK RD
Mooresville, NC 28117
(704) 677-7905
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Physical Therapy Services Inc's NPI number?

The NPI number for Innovative Physical Therapy Services Inc is 1336148279. It was assigned to this organization in the NPPES registry on July 20, 2005.

Where is Innovative Physical Therapy Services Inc located?

Innovative Physical Therapy Services Inc is located at 503 Canvasback Rd, Mooresville, NC 28117. The listed phone number is (704) 799-9791.

What is Innovative Physical Therapy Services Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Innovative Physical Therapy Services Inc enrolled in Medicare?

Yes. Innovative Physical Therapy Services Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Physical Therapy Services Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Innovative Physical Therapy Services Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Innovative Physical Therapy Services Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Innovative Physical Therapy Services Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Physical Therapy Services Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.