Innovative Senior Rehab – Physical Therapist, NPI 1164584058

Innovative Senior Rehab is a healthcare provider. based in Stockton, California. specializing in Physical Therapist. The NPI Number for Innovative Senior Rehab is 1164584058

Main info

Organization
Name
Innovative Senior Rehab
NPI
1164584058
Phone
(209) 951-3770
Address
3318 BROOKSIDE RD
Authorized Official
ELIZABETH JOY HADLEY VP CFO
Enumeration Date
15 December 2006
Last Update Date
10 July 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Innovative Senior Rehab

  • 3318 BROOKSIDE RD

    STOCKTON, CA 952192343

    Phone: (209) 951-3770

    Fax: (209) 951-3770

    Type: Location

  • 222, West Pine Street, Lodi, San Joaquin County, California, 95240, United States

    LODI, CA 952402020

    Phone: (209) 368-1009

    Fax: (209) 368-1024

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95219)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Innovative Senior Rehab?
Innovative Senior Rehab — NPI 1164584058 — is the standard way to identify this listing.
Is Innovative Senior Rehab still practicing?
Innovative Senior Rehab is currently listed as active in the public NPI registry.
What taxonomy line describes Innovative Senior Rehab?
For research purposes, treat Innovative Senior Rehab as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does Innovative Senior Rehab serve?
Innovative Senior Rehab's listing highlights Stockton, California; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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