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General NPI Number Information
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NPI Number | 1487531547
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Entity Type | Organization
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Legal Business Name | INNOVATE PHYSICAL & OCCUPATIONAL THERAPY PLLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 8145 HIGHWAY 6 STE 300
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City | MISSOURI CITY
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State | TX
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Zip | 77459-6726
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Country | US
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Telephone | 281-270-2280
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Fax | 281-916-6585
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Provider Business Mailing Address
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Address Line | 3221 HIGHWAY 6
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City | SUGAR LAND
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State | TX
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Zip | 77478-4366
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Country | US
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Telephone | 281-916-6575
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Fax | 281-916-6585
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | JAYSON VARGHESE
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Credential |
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Telephone | 281-916-6575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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