Provider Demographics
NPI:1740602861
Name:THERAPYWORKS PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:THERAPYWORKS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:1171 W TIPTON ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:SEYMOUR
Mailing Address - State:IN
Mailing Address - Zip Code:47274-2793
Mailing Address - Country:US
Mailing Address - Phone:812-522-7007
Mailing Address - Fax:812-522-7043
Practice Address - Street 1:1171 W TIPTON ST
Practice Address - Street 2:SUITE L
Practice Address - City:SEYMOUR
Practice Address - State:IN
Practice Address - Zip Code:47274-2793
Practice Address - Country:US
Practice Address - Phone:812-522-7007
Practice Address - Fax:812-522-7043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ININ1872Medicare PIN