Provider Demographics
NPI:1972184505
Name:THERAPY LLC
Entity Type:Organization
Organization Name:THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOI
Authorized Official - Middle Name:
Authorized Official - Last Name:GADDY EGBUNIWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:443-286-7270
Mailing Address - Street 1:8599 HAYSHED LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2614
Mailing Address - Country:US
Mailing Address - Phone:443-286-7270
Mailing Address - Fax:
Practice Address - Street 1:8955 GUILFORD RD STE 140
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2394
Practice Address - Country:US
Practice Address - Phone:443-542-2480
Practice Address - Fax:443-296-6707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Single Specialty
No111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty