1639249261 NPI number — THERAPY WORKS, INC

Table of content: (NPI 1639249261)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639249261 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:
Provider Other Organization Name Type Code:
6
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:
1639249261
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3801 SPRINGHURST BLVD
Provider Second Line Business Mailing Address:
SUITE 109
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40241-6137
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-327-9777
Provider Business Mailing Address Fax Number:
502-327-6949

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3801 SPRINGHURST BLVD
Provider Second Line Business Practice Location Address:
SUITE 109
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40241-6137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-327-9777
Provider Business Practice Location Address Fax Number:
502-327-6949
Provider Enumeration Date:
11/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
SONYA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
502-327-9777

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  100822 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 100822 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225200000X , with the licence number: 100822 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225400000X , with the licence number: 100822 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X , with the licence number: 100822 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 227900000X , with the licence number: 100822 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 000000217772 . This is a "BCBS OCCUPATIONAL THERAPY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 1987322 . This is a "FIRST HEALTH" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 9101041300 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000217773 . This is a "BCBS SPEECH THERAPY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000217774 . This is a "BCBS PHYSICAL THERAPY" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 7490213 . This is a "AETNA" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com