Provider Demographics
NPI:1245369388
Name:THERAPUTX, INC
Entity type:Organization
Organization Name:THERAPUTX, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:W
Authorized Official - Last Name:RADUENZEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-757-5241
Mailing Address - Street 1:5241 FOUNTAIN DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-5323
Mailing Address - Country:US
Mailing Address - Phone:219-757-5241
Mailing Address - Fax:219-757-5242
Practice Address - Street 1:5241 FOUNTAIN DR
Practice Address - Street 2:SUITE E
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-5323
Practice Address - Country:US
Practice Address - Phone:219-757-5241
Practice Address - Fax:219-757-5242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN156552Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER