Provider Demographics
NPI:1811623952
Name:PT WORKS LLC
Entity Type:Organization
Organization Name:PT WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AUBREY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS, MTC
Authorized Official - Phone:561-662-4576
Mailing Address - Street 1:82 TURNBULL HILL CT
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-3200
Mailing Address - Country:US
Mailing Address - Phone:561-662-4576
Mailing Address - Fax:
Practice Address - Street 1:5530 FLORIDA MINING BLVD S # 1
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-3647
Practice Address - Country:US
Practice Address - Phone:561-662-4576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-30
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy