OrganizationActive
Innovative Physical Therapy LLC
NPI 1265961049 · Physical Therapy Clinic/Center · Lafayette, LA
Provider details
- NPI number
- 1265961049
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Innovative Physical Therapy LLC
- Organization subpart
- Yes
- Authorized official
- Ilyas Munshi, Owner(337) 234-5344
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
99 W Martial Ave
Lafayette, LA 70508-6583
Phone: (337) 408-8000
Fax: (337) 408-8002
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 82510
Lafayette, LA 70598-2510
Registry dates
- Enumerated
- 2017-06-06
- Last updated
- 2017-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.