SENIOR REHAB INNOVATORS PLLC
NPI 1477287159
Physical Therapist - Geriatrics in Fort Worth, TX

Active since July 11, 2022
6262 HOME PORT DR APT 1530, FORT WORTH, TX 76131(419) 378-1566 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Senior Rehab Innovators Pllc NPPES

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

SENIOR REHAB INNOVATORS PLLC (NPI 1477287159), doing business as Active Aging Physical Therapy, is a healthcare organization registered as a geriatrics in Fort Worth, Texas and active in the NPI registry since July 2022. The organization lists Pradeep Rapalli, Owner, as its authorized official.

NPPES Registry Identity

NPI1477287159
Entity TypeOrganization
Primary Taxonomy2251G0304X
Legal Business NameSENIOR REHAB INNOVATORS PLLC
Location Address6262 HOME PORT DR APT 1530Fort Worth, TX 76131-2389
Mailing Address6262 Home Port Dr Apt 1530Fort Worth, TX 76131-2389 · (419) 378-1566
Organization SubpartNo
Authorized OfficialPradeep RapalliOwner · (419) 378-1566
Enumeration DateJuly 11, 2022
NPPES CertifiedJuly 11, 2022
✔ NPI 1477287159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
6262 HOME PORT DR APT 1530, Fort Worth, TX 76131

Other Names 1

Doing Business AsActive Aging Physical Therapy

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Senior Rehab Innovators Pllc 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 Senior Rehab Innovators PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1912247610
711 LUCAS DR
Athens, TX 75751
(903) 675-8538
✔ Accepts Medicare98 mi

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 Senior Rehab Innovators PLLC's NPI number?

The NPI number for Senior Rehab Innovators PLLC is 1477287159. It was assigned to this organization in the NPPES registry on July 11, 2022. The provider is doing business as Active Aging Physical Therapy.

Where is Senior Rehab Innovators PLLC located?

Senior Rehab Innovators PLLC is located at 6262 Home Port Dr Apt 1530, Fort Worth, TX 76131. The listed phone number is (419) 378-1566.

What is Senior Rehab Innovators PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Is Senior Rehab Innovators PLLC enrolled in Medicare?

Yes. Senior Rehab Innovators PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Senior Rehab Innovators PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Senior Rehab Innovators PLLC. 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.

When was this NPI record last updated?

The NPPES record for Senior Rehab Innovators PLLC was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.