Provider Demographics
NPI: | 1639249261 |
---|---|
Name: | THERAPY WORKS, INC |
Entity Type: | Organization |
Organization Name: | THERAPY WORKS, INC |
Other - Org Name: | REHAB NOW, INC |
Other - Org Type: | Former Legal Business Name |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | SONYA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | THOMPSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 502-327-9777 |
Mailing Address - Street 1: | 3801 SPRINGHURST BLVD |
Mailing Address - Street 2: | SUITE 109 |
Mailing Address - City: | LOUISVILLE |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40241-6137 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 502-327-9777 |
Mailing Address - Fax: | 502-327-6949 |
Practice Address - Street 1: | 3801 SPRINGHURST BLVD |
Practice Address - Street 2: | SUITE 109 |
Practice Address - City: | LOUISVILLE |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40241-6137 |
Practice Address - Country: | US |
Practice Address - Phone: | 502-327-9777 |
Practice Address - Fax: | 502-327-6949 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | THERAPY WORKS INC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2006-11-09 |
Last Update Date: | 2008-04-20 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
KY | 100822 | 224Z00000X, 225100000X, 225200000X, 225400000X, 225X00000X, 227900000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Single Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Single Specialty | |
No | 225400000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner | Group - Single Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Single Specialty | |
No | 227900000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
KY | 000000217772 | Other | BCBS OCCUPATIONAL THERAPY |
KY | 1987322 | Other | FIRST HEALTH |
KY | 9101041300 | Medicaid | |
KY | 000000217773 | Other | BCBS SPEECH THERAPY |
KY | 000000217774 | Other | BCBS PHYSICAL THERAPY |
KY | 7490213 | Other | AETNA |
KY | 7490213 | Other | AETNA |
KY | 9101041300 | Medicaid | |
KY | 000000217772 | Other | BCBS OCCUPATIONAL THERAPY |
KY | 1987322 | Other | FIRST HEALTH |