INNOVATIVE PHYSICIAN SERVICES LLC

Counselor — Mental Health

Code: 101YM0800X

Chiropractor

Code: 111N00000X

Internal Medicine

Code: 207R00000X

Physical Medicine & Rehabilitation

Code: 208100000X

Physical Therapist

Code: 225100000X

Clinic/Center — Mental Health (Including Community Mental Health Center)

Code: 261QM0801X

Physician Assistant

Code: 363A00000X

Nurse Practitioner

Code: 363L00000X