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 1619206703

Innovative Senior Rehabilitation Services, Inc is a Physical Therapist in Lodi, California. Registered with an NPI since 2009.

In the registry since
2009
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

222 W Pine St
Lodi, CA 95240-2020
Phone: (209) 368-1009
Fax: (209) 368-1024
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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 number1619206703
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Hadley — Vp Cfo · (916) 690-0757
Other names Innovative Senior Rehab
NPI enumeratedDecember 18, 2009
Last updated in NPPESNovember 7, 2010
Mailing address222 W Pine St, Lodi, CA 95240-2020

Other providers in Lodi