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INNOVATIVE PEDIATRIC THERAPY SERVICES LLC
NPI 1629680319
Clinic/Center in Selinsgrove, PA

Active since August 24, 2020
713 BRIDGE ST STE 23, SELINSGROVE, PA 17870(570) 266-5181 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2020, Aug 24, 2020 (2 updates tracked since 2020).

About Innovative Pediatric Therapy Services Llc NPPES

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

INNOVATIVE PEDIATRIC THERAPY SERVICES LLC (NPI 1629680319) is a healthcare organization registered as a clinic/center in Selinsgrove, Pennsylvania and active in the NPI registry since August 2020. The organization lists Erin Mitrenko, Owner, as its authorized official.

NPPES Registry Identity

NPI1629680319
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINNOVATIVE PEDIATRIC THERAPY SERVICES LLC
Location Address713 BRIDGE ST STE 23Selinsgrove, PA 17870-1250
Mailing Address350 S Market StSelinsgrove, PA 17870-1816 · (508) 269-2747
Phone(570) 266-5181
Organization SubpartNo
Authorized OfficialErin MitrenkoOwner · (570) 266-5181
Enumeration DateAugust 24, 2020
Last NPPES UpdateSeptember 18, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2020
✔ NPI 1629680319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
713 BRIDGE ST STE 23, Selinsgrove, PA 17870
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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 Pediatric Therapy Services LLC's NPI number?

The NPI number for Innovative Pediatric Therapy Services LLC is 1629680319. It was assigned to this organization in the NPPES registry on August 24, 2020.

Where is Innovative Pediatric Therapy Services LLC located?

Innovative Pediatric Therapy Services LLC is located at 713 Bridge St Ste 23, Selinsgrove, PA 17870. The listed phone number is (570) 266-5181.

What is Innovative Pediatric Therapy Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Innovative Pediatric Therapy Services LLC was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.