Provider Demographics
NPI:1720535867
Name:THERAPY WORKS PC
Entity Type:Organization
Organization Name:THERAPY WORKS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:BITTICK
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:770-995-2379
Mailing Address - Street 1:1514 SHEFFIELD DRIVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329
Mailing Address - Country:US
Mailing Address - Phone:904-248-1199
Mailing Address - Fax:
Practice Address - Street 1:1514 SHEFFIELD DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3424
Practice Address - Country:US
Practice Address - Phone:904-248-1199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-07
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0124382251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty