Provider Demographics
NPI:1942429964
Name:THERAPY WORKS
Entity Type:Organization
Organization Name:THERAPY WORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:CENERI
Authorized Official - Last Name:CENERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-469-5731
Mailing Address - Street 1:32 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-2506
Mailing Address - Country:US
Mailing Address - Phone:203-469-5731
Mailing Address - Fax:203-467-3894
Practice Address - Street 1:32 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-2506
Practice Address - Country:US
Practice Address - Phone:203-469-5731
Practice Address - Fax:203-467-3894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT000952OtherAETNA
CT104798500OtherUS DEPT OF LABOR
CTOV6237OtherHEALTHNET
DE0112701OtherORTHONET
CT004121183Medicaid
CTCA6754Medicare ID - Type UnspecifiedRAILROAD MEDICARE
CTOV6237OtherHEALTHNET