Provider Demographics
NPI:1902836737
Name:THERAPY WORKS LLC
Entity Type:Organization
Organization Name:THERAPY WORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:GILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:414-762-9992
Mailing Address - Street 1:P.O. BOX 26
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-1800
Mailing Address - Country:US
Mailing Address - Phone:414-762-9992
Mailing Address - Fax:414-762-6783
Practice Address - Street 1:7270 SOUTH 13TH STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-1800
Practice Address - Country:US
Practice Address - Phone:414-762-9992
Practice Address - Fax:414-762-6783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4429-024225100000X
WI1298-019225200000X
WI3375-026225X00000X
WI867-0282278P1005X
WI133-0282278P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered2278P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI524504Medicare ID - Type Unspecified