Provider Demographics
NPI:1952420317
Name:TRANSITIONS THERAPIES WEST
Entity Type:Organization
Organization Name:TRANSITIONS THERAPIES WEST
Other - Org Name:THERAPIES WEST
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:S
Authorized Official - Last Name:WERTHEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:805-496-2189
Mailing Address - Street 1:415 ROLLING OAKS DR
Mailing Address - Street 2:STE 180
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1029
Mailing Address - Country:US
Mailing Address - Phone:804-496-2189
Mailing Address - Fax:805-496-3489
Practice Address - Street 1:415 ROLLING OAKS DR
Practice Address - Street 2:STE 180
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361-1029
Practice Address - Country:US
Practice Address - Phone:804-496-2189
Practice Address - Fax:805-496-3489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 8173225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT 8173Medicare ID - Type UnspecifiedPT NUMBER