Innovative Rehabilitation,llc is a medicare enrolled "Clinic/center - Rehabilitation" provider in Livingston, Texas. Their current practice location is
440 Highway 59 Loop S Ste 104, Livingston, Texas. You can reach out to their office (for appointments etc.) via phone at
(936) 328-8148.
Innovative Rehabilitation,llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Innovative Rehabilitation,llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1588978613.
Healthcare Provider's Profile
| Full Name | Innovative Rehabilitation,llc |
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| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 440 Highway 59 Loop S Ste 104, Livingston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1588978613
- Provider Enumeration Date: 07/30/2010
- Last Update Date: 01/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 1658511431
- Enrollment ID: O20130628000591
Medical Identifiers
Medical identifiers for Innovative Rehabilitation,llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588978613 | NPI | - | NPPES |
| 1588978613 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 107336 (Texas) | Secondary |
| 225X00000X | Occupational Therapist | 111675 (Texas) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 2355S0801X | Specialist/technologist - Speech-language Assistant | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 24933 (Texas) | Secondary |
| 235Z00000X | Speech-language Pathologist | 15485 (Texas) | Secondary |
| 224Z00000X | Occupational Therapy Assistant | (* (Not Available)) | Secondary |
| 225200000X | Physical Therapy Assistant | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 109182 (Texas) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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 Rehabilitation,llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Innovative Rehabilitation,llc
440 Highway 59 Loop S Ste 104,
Livingston, TX 77351-9011
Ph: (936) 328-8148 | Innovative Rehabilitation,llc
440 Highway 59 Loop S Ste 104,
Livingston, TX 77351-9011
Ph: (936) 328-8148 |
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