1497705321 NPI number — THERAPY WORKS INC

Table of content: (NPI 1497705321)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497705321 NPI number — THERAPY WORKS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THERAPY WORKS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THERAPYWORKS, PA
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497705321
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1311 WAKARUSA DR
Provider Second Line Business Mailing Address:
SUITE 1000
Provider Business Mailing Address City Name:
LAWRENCE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66049-4798
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-749-1300
Provider Business Mailing Address Fax Number:
785-749-4746

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1311 WAKARUSA DR
Provider Second Line Business Practice Location Address:
SUITE 1000
Provider Business Practice Location Address City Name:
LAWRENCE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66049-4798
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-749-1300
Provider Business Practice Location Address Fax Number:
785-749-4746
Provider Enumeration Date:
05/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
AMBER
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
785-749-1300

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QP2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100297720A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 22938015 . This is a "BCBS OF KANSAS CITY" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 370813200 . This is a "DEPT OF LABOR" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 623280 . This is a "FIRSTGUARD" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 22938015 . This is a "PHP" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 014727 . This is a "BCBS OF KS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 5548578 . This is a "AETNA" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100077430A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".




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