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

Innovative Senior Rehabilitation Services Inc

Organization Physical Therapist · NPI 1164584058

Innovative Senior Rehabilitation Services Inc is a Physical Therapist in Stockton, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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

3318 Brookside Rd
Stockton, CA 95219-2343
Phone: (209) 951-3770
Fax: (209) 951-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1164584058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Hadley — Vp Cfo · (916) 690-0757
Other names Innovative Senior Rehab
NPI enumeratedDecember 15, 2006
Last updated in NPPESJuly 10, 2011
Mailing address222 W Pine St, Lodi, CA 95240-2020

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