Provider Demographics
NPI:1164470233
Name:TU DOR HOME THERAPIES INC
Entity Type:Organization
Organization Name:TU DOR HOME THERAPIES INC
Other - Org Name:TU DOR PHYSICAL THERAPY CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-989-4564
Mailing Address - Street 1:PO BOX 392573
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9573
Mailing Address - Country:US
Mailing Address - Phone:330-953-0129
Mailing Address - Fax:330-953-0650
Practice Address - Street 1:7645 MARKET ST
Practice Address - Street 2:SUITE 110
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6098
Practice Address - Country:US
Practice Address - Phone:330-965-9330
Practice Address - Fax:330-965-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCF8780OtherMEDICARE RAILROAD
OH000000168295OtherANTHEM
OH000000316648OtherANTHEM
OH000000316650OtherANTHEM
OH2132203Medicaid
OHDB7720OtherMEDICARE RAILROAD
OH000000316650OtherANTHEM
OH=========-06OtherBWC