Provider Demographics
NPI:1982773370
Name:PT WORKS
Entity Type:Organization
Organization Name:PT WORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:HYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, LMP
Authorized Official - Phone:360-697-7100
Mailing Address - Street 1:PO BOX 2611
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-2611
Mailing Address - Country:US
Mailing Address - Phone:360-697-7100
Mailing Address - Fax:206-842-8307
Practice Address - Street 1:18777 9TH AVE NE
Practice Address - Street 2:SUITE 6
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8402
Practice Address - Country:US
Practice Address - Phone:360-697-7100
Practice Address - Fax:206-842-8307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006826261Q00000X
WAMA00005937261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center