Provider Demographics
NPI:1215398193
Name:THERAPYPLUS.
Entity Type:Organization
Organization Name:THERAPYPLUS.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDRUS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-234-5777
Mailing Address - Street 1:119 BAKERS ACRES DR
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:FL
Mailing Address - Zip Code:32640-4159
Mailing Address - Country:US
Mailing Address - Phone:352-234-5777
Mailing Address - Fax:
Practice Address - Street 1:119 BAKERS ACRES DR
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:FL
Practice Address - Zip Code:32640-4159
Practice Address - Country:US
Practice Address - Phone:352-234-5777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH STEPS REHAB INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4639172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1639362866OtherNPI
FL1518010701OtherNPI