INNOVATIVE HEALTH, INC (NPI# 1912151853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912151853 |
| Entity Type | Organization |
| Organization Name | INNOVATIVE HEALTH, INC |
| Other Organization Name | NOVO PHYSICAL THERAPY/ PILATES |
| Practice Address |
1300 Peachtree Industrial Blvd Suite 2203 Suwanee GA 30024-4539 |
| Practice Telephone | 6787300227 |
| Practice Fax Number | 6787300229 |
| Mailing Telephone | 6787300227 |
| Mailing Fax Number | 6787300229 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Authorized Official Name | CONNIE JEON (CEO) |
| Authorized Official Telephone | 67873000227 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT007815 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Novo Physical Therapy/ Pilates | Doing Business As Name - Organization |
| Street Address |
1300 PEACHTREE INDUSTRIAL BLVD SUITE 2203 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679503577 | Shukri George Makhlouf | Internal Medicine | 1300 Peachtree Industrial Blvd, Suite 4203, Suwanee, GA 30024-4539 | 2006-07-04 |
| 1568901445 | Olivia Mary Flory | Physician Assistant | 1300 Peachtree Industrial Blvd, Suwanee, GA 30024-4539 | 2017-02-13 |
| 1598204463 | Mandy Ulseth | Physician Assistant | 1300 Peachtree Industrial Blvd, Suite 4101, Suwanee, GA 30024-4539 | 2017-02-13 |
| 1689128902 | Elliot Stokes | Physician Assistant | 1300 Peachtree Industrial Blvd, #4101, Suwanee, GA 30024-4539 | 2016-08-04 |
| 1407254238 | Dental Sleep Therapy LLC | Durable Medical Equipment & Medical Supplies | 1300 Peachtree Industrial Blvd, Suite 4103, Suwanee, GA 30024-4539 | 2014-12-10 |
| 1952702409 | Georgia Sleep Systems LLC | Durable Medical Equipment & Medical Supplies | 1300 Peachtree Industrial Blvd, 4103, Suwanee, GA 30024-4539 | 2014-09-15 |
| 1730593815 | John Caleb Henson | Physician Assistant | 1300 Peachtree Industrial Blvd, Suite 4101, Suwanee, GA 30024-4539 | 2014-06-17 |
| 1043530686 | Suwanee Station Dentistry, LLC | Dentist | 1300 Peachtree Industrial Blvd, Suite 4103, Suwanee, GA 30024-4539 | 2010-06-06 |
| 1003146143 | Innovative Medical, Inc. | Family Medicine | 1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024-4539 | 2010-01-13 |
| 1295907756 | Gwinnett Urgent Care | Emergency Medicine | 1300 Peachtree Industrial Blvd, Ste 4101, Suwanee, GA 30024-4539 | 2008-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740674514 | Jessica Gutzman | Physical Therapist | 6929 Mcginnis Ferry Road, Suite 320, Suwanee, GA 30024 | 2015-03-19 |
| 1093024747 | Jital J Pancholi | Physical Therapist | 3875 Johns Creek Pkwy, Suwanee, GA 30024-1294 | 2010-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100479 | Production Physicos,llc | Physical Therapist | 461 Sandy Creek Rd Ste 1102, Fayetteville, GA 30214-4284 | 2020-09-28 |
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1841801644 | Noah Konner Lindsey | Physical Therapist | 5270 Peachtree Pkwy Ste 116, Norcross, GA 30092-2558 | 2020-08-14 |
| 1942810106 | Caitlin M Hesse | Physical Therapist | 4480 S Cobb Dr Se Ste Y, Smyrna, GA 30080-6984 | 2020-08-03 |
| 1669007316 | Dynamic Swing Performance, LLC | Physical Therapist | 2031 Cobblestone Cir Ne, Brookhaven, GA 30319-4909 | 2020-03-03 |
| 1356810113 | Ryan Daniel Ahlenius | Physical Therapist | 6360 Dove Dr, Loganville, GA 30052-3031 | 2018-11-21 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1700363686 | Jason Y Kawamura | Physical Therapist | 2300 Liam Ave Ste 103, Dacula, GA 30019-2265 | 2018-07-24 |
| 1649766528 | Carrie Elizabeth Dendtler | Physical Therapist | 320 Montgomery Ave, Alpharetta, GA 30004-3163 | 2018-07-03 |
| 1558853085 | Re Generate Physiotherapy, LLC | Physical Therapist | 1240 Ga-54, Building 700, Fayetteville, GA 30214 | 2018-05-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.