Innovative Physical Therapy Services Inc
NPI 1336148279 · Pediatric Physical Therapist · Mooresville, NC
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Physical Therapy Services Inc is a Pediatric Physical Therapist organization in Mooresville, NC (NPI 1336148279).
Provider details
- NPI number
- 1336148279
- Entity type
- Organization
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Shirley Dzikowski, Owner/Director(704) 799-9791
- License
- 6107 (NC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Innovative Physical Therapy Services Inc's NPI number?
- Innovative Physical Therapy Services Inc's National Provider Identifier (NPI) is 1336148279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Physical Therapy Services Inc?
- Innovative Physical Therapy Services Inc is classified in the NPPES registry as Pediatric Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Innovative Physical Therapy Services Inc located?
- Innovative Physical Therapy Services Inc's practice location on file with NPPES is 503 Canvasback Rd, Mooresville, NC 28117.
- What is Innovative Physical Therapy Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Innovative Physical Therapy Services Inc is (704) 799-9791.
- Does Innovative Physical Therapy Services Inc accept Medicare?
- Innovative Physical Therapy Services 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 Services Inc?
- The authorized official listed on Innovative Physical Therapy Services Inc's NPPES record is Shirley Dzikowski, Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Physical Therapy Services Inc's NPI active?
- Yes — Innovative Physical Therapy Services Inc's NPI (1336148279) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.