| Innovative Physical Therapy Services Inc | |
|
503 Canvasback Rd, Mooresville, NC 28117 | |
| (704) 799-9791 | |
| (704) 799-2687 |
| Full Name | Innovative Physical Therapy Services Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Pediatrics |
| Location | 503 Canvasback Rd, Mooresville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336148279 | NPI | - | NPPES |
| 0149J | Other | NC | BCBS |
| 5194701 | Other | CIGNA | |
| 6443822 | Other | NC | UNITED HEALTHCARE |
| 7210608 | Medicaid | NC | |
| 32633 | Other | NC | PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | 6107 (North Carolina) | Primary |
| Provider Name | Shirley J Dzikowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184667321 PECOS PAC ID: 9335416395 Enrollment ID: I20170522002486 |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Physical Therapy Services Inc 503 Canvasback Rd, Mooresville, NC 28117 Ph: (704) 799-9791 | Innovative Physical Therapy Services Inc 503 Canvasback Rd, Mooresville, NC 28117 Ph: (704) 799-9791 |
Justin M Pretzel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 146 Mooresville Commons Way Ste 5e, Mooresville, NC 28117 Phone: 980-444-0906 Fax: 980-444-6812 | |
Tawny J Chamberlain, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Glenwood Dr, Mooresville, NC 28115 Phone: 704-664-7494 | |
Constance A Andrews, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Carriage Club Dr, Mooresville, NC 28117 Phone: 704-658-1200 Fax: 704-662-8509 | |
Laina Touchberry, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824 Fax: 704-799-6825 | |
David Scott Pfeufer, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 363 Williamson Rd, Suite 101, Mooresville, NC 28117 Phone: 704-660-7070 Fax: 704-664-5575 | |
Antonia Shoemaker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N Church St Ste 110, Mooresville, NC 28115 Phone: 704-909-7808 | |
Elisabeth Lincoln, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 Commerce Park Rd Ste 105, Mooresville, NC 28117 Phone: 704-799-2873 |