Innovative Physical Therapy and Fitness Center Inc
NPI 1184205072 · Physical Medicine & Rehabilitation Physician · Edison, NJ
Enrolled with Medicare as Dme Supplier - Independently-Practicing Physical Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Physical Therapy and Fitness Center Inc is a Physical Medicine & Rehabilitation Physician organization in Edison, NJ (NPI 1184205072).
Provider details
- NPI number
- 1184205072
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Denise Tavares, Billing Manager(732) 317-4105
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3562 Route 27Suite 124Kendall Park, NJ 08824Phone: (732) 853-8177
Registry dates
- Enumerated
- 2021-04-21
- Last updated
- 2022-03-15
- Certified
- 2022-03-15
Frequently asked questions
- What is Innovative Physical Therapy and Fitness Center Inc's NPI number?
- Innovative Physical Therapy and Fitness Center Inc's National Provider Identifier (NPI) is 1184205072, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Physical Therapy and Fitness Center Inc?
- Innovative Physical Therapy and Fitness Center Inc is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Physical Therapy and Fitness Center Inc located?
- Innovative Physical Therapy and Fitness Center Inc's practice location on file with NPPES is 259 Talmadge Rd, Edison, NJ 08817-2833.
- What is Innovative Physical Therapy and Fitness Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Innovative Physical Therapy and Fitness Center Inc is (732) 853-8177.
- Does Innovative Physical Therapy and Fitness Center Inc accept Medicare?
- Innovative Physical Therapy and Fitness Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Physical Therapy and Fitness Center Inc?
- The authorized official listed on Innovative Physical Therapy and Fitness Center Inc's NPPES record is Denise Tavares, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Physical Therapy and Fitness Center Inc's NPI active?
- Yes — Innovative Physical Therapy and Fitness Center Inc's NPI (1184205072) is active in the NPPES registry as of the last update on 2022-03-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.