Healthcare Provider Details

I. General information

NPI: 1851237606
Provider Name (Legal Business Name): INNOVATE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 WHITE IRIS LOOP
CARY NC
27519-1010
US

IV. Provider business mailing address

425 WHITE IRIS LOOP
CARY NC
27519-1010
US

V. Phone/Fax

Practice location:
  • Phone: 224-545-3390
  • Fax:
Mailing address:
  • Phone: 224-545-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: AVNI MEHTA
Title or Position: PT
Credential:
Phone: 224-256-7371