Provider Demographics
NPI:1740031285
Name:PHYSICAL THERAPY WORKS, INC
Entity type:Organization
Organization Name:PHYSICAL THERAPY WORKS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-383-8179
Mailing Address - Street 1:330 NE MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-4346
Mailing Address - Country:US
Mailing Address - Phone:541-383-8179
Mailing Address - Fax:541-685-2639
Practice Address - Street 1:865 SW VETERANS WAY STE 200A
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2583
Practice Address - Country:US
Practice Address - Phone:541-678-5177
Practice Address - Fax:541-685-2639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty