Provider Demographics
NPI:1477696573
Name:THERAPY PLUS UNLIMITED
Entity Type:Organization
Organization Name:THERAPY PLUS UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:860-283-8556
Mailing Address - Street 1:81 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:CT
Mailing Address - Zip Code:06782-2305
Mailing Address - Country:US
Mailing Address - Phone:860-283-8556
Mailing Address - Fax:860-283-6667
Practice Address - Street 1:81 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:CT
Practice Address - Zip Code:06782-2305
Practice Address - Country:US
Practice Address - Phone:860-283-8556
Practice Address - Fax:860-283-6667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Not Answered261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Not Answered261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT50THEPLUSCT01OtherANTHEMBCBS
CT076519Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER