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NPI Code Detail

MEDICARE: INNOVATE PHYSICAL & OCCUPATIONAL THERAPY PLLC

MEDICARE: INNOVATE PHYSICAL & OCCUPATIONAL THERAPY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2332B00000XDurable Medical Equipment & Medical Supplies
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1487531547
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNOVATE PHYSICAL & OCCUPATIONAL THERAPY PLLC
Provider Business Mailing Address
First Line : 3221 HIGHWAY 6
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4366
Country : US
Telephone Number : 281-916-6575
Fax Number : 281-916-6585
Provider Business Practice Location Address
First Line : 8145 HIGHWAY 6 STE 300
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-6726
Country : US
Telephone Number : 281-270-2280
Fax Number : 281-916-6585
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : JAYSON VARGHESE
Credential :
Telephone Number : 281-916-6575
Provider Enumeration Date : 08/20/2025
Last Update Date : 08/20/2025

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Directions to “INNOVATE PHYSICAL & OCCUPATIONAL THERAPY PLLC ” Practice Location

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