Innovative Senior Rehab - Physical Therapist in Stockton, CA

Innovative Senior Rehab is a Physical Therapist based in Stockton, California. Innovative Senior Rehab is licensed to practice in * (Not Available) (license number ) and their current practice location is 3318 Brookside Rd, Stockton, California. It can be reached at their office (for appointments etc.) via phone at (209) 951-3770.

NPI number for Innovative Senior Rehab is 1164584058 and their current mailing address is 222 W Pine St, Lodi, California. Innovative Senior Rehab does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1164584058.

Contact Information

Innovative Senior Rehab
3318 Brookside Rd,
Stockton, CA 95219-2343
(209) 951-3770
(209) 951-3770

Map and Direction




Healthcare Provider's Profile

Full NameInnovative Senior Rehab
TypeFacility
SpecialityPhysical Therapist
Location3318 Brookside Rd, Stockton, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164584058
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 07/10/2011

Medical Identifiers

Medical identifiers for Innovative Senior Rehab such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164584058NPI-NPPES
CH1035OtherCARAILROAD MEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
225X00000XOccupational Therapist (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Innovative Senior Rehab is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Innovative Senior Rehab
222 W Pine St,
Lodi, CA 95240-2020

Ph: (209) 368-1009
Innovative Senior Rehab
3318 Brookside Rd,
Stockton, CA 95219-2343

Ph: (209) 951-3770

Reviews and Comments


Physical Therapist in Stockton, CA

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Michele Elisabeth Carlson,
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Emily Rose Acton, PT, DPT
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Medicare: Accepting Medicare Assignments
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Phone: 209-425-4071    Fax: 209-451-5687

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.