Provider Demographics
NPI:1295508323
Name:TOTAL THERAPY CARE
Entity type:Organization
Organization Name:TOTAL THERAPY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, OT/L
Authorized Official - Phone:720-745-2511
Mailing Address - Street 1:2785 HOWARDSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:RAYWICK
Mailing Address - State:KY
Mailing Address - Zip Code:40060-6579
Mailing Address - Country:US
Mailing Address - Phone:720-745-2511
Mailing Address - Fax:
Practice Address - Street 1:2785 HOWARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:RAYWICK
Practice Address - State:KY
Practice Address - Zip Code:40060-6579
Practice Address - Country:US
Practice Address - Phone:720-745-2511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty