Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Physical Therapy Services Inc

Organization Pediatric Physical Therapist · NPI 1336148279

Innovative Physical Therapy Services Inc is a Pediatric Physical Therapist in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

503 Canvasback Rd
Mooresville, NC 28117
Phone: (704) 799-9791
Fax: (704) 799-2687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 6107 (NC)

Record details

NPI number1336148279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shirley Dzikowski — Owner/Director · (704) 799-9791
NPI enumeratedJuly 20, 2005
Last updated in NPPESAugust 22, 2020
Mailing address503 Canvasback Rd, Mooresville, NC 28117

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