Organization
INNOVATIVE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ELLIS DPT (OWNER)
(219) 926-5850
Entity
Organization
Contact information
Practice address
502 E 1100 N, CHESTERTON, IN 46304-9697
(219) 926-5850
(219) 250-2072
Mailing address
502 E 1100 N, CHESTERTON, IN 46304-9697
(219) 926-5850
(219) 250-2072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010042A
IN
Other
Enumeration date
11/16/2015
Last updated
12/23/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up