Provider Demographics
NPI:1730299447
Name:THERAPY INNOVATIONS INC
Entity Type:Organization
Organization Name:THERAPY INNOVATIONS INC
Other - Org Name:1ST STEP REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INS. BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:DOCKERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-386-2424
Mailing Address - Street 1:PO BOX 1807
Mailing Address - Street 2:
Mailing Address - City:GATE CITY
Mailing Address - State:VA
Mailing Address - Zip Code:24251
Mailing Address - Country:US
Mailing Address - Phone:276-386-2424
Mailing Address - Fax:276-386-2349
Practice Address - Street 1:389 KANE STREET
Practice Address - Street 2:
Practice Address - City:GATE CITY
Practice Address - State:VA
Practice Address - Zip Code:24251
Practice Address - Country:US
Practice Address - Phone:276-386-2424
Practice Address - Fax:276-386-2349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No252Y00000XAgenciesEarly Intervention Provider Agency
No261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4979681Medicaid
VA4979681Medicaid