Provider Demographics
NPI:1629305362
Name:THERAPYWORKS, INC.
Entity Type:Organization
Organization Name:THERAPYWORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST-FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BEATRIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:305-742-1118
Mailing Address - Street 1:655 W FLAGLER ST
Mailing Address - Street 2:204
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1223
Mailing Address - Country:US
Mailing Address - Phone:305-742-1118
Mailing Address - Fax:305-648-1049
Practice Address - Street 1:655 W FLAGLER ST
Practice Address - Street 2:204
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1223
Practice Address - Country:US
Practice Address - Phone:305-742-1118
Practice Address - Fax:305-648-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 7836235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001539800Medicaid
FL892511900Medicaid