Provider Demographics
NPI:1639583602
Name:THERAPYDIA, INC.
Entity Type:Organization
Organization Name:THERAPYDIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, CLINIC SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NOTTINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-533-4863
Mailing Address - Street 1:18 E BLITHEDALE AVE STE 21
Mailing Address - Street 2:SUITE 21
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1946
Mailing Address - Country:US
Mailing Address - Phone:415-533-4863
Mailing Address - Fax:
Practice Address - Street 1:818 18TH ST NW
Practice Address - Street 2:SUITE 1000
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-3513
Practice Address - Country:US
Practice Address - Phone:415-533-4863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy