Healthcare Provider Details

I. General information

NPI: 1740602861
Provider Name (Legal Business Name): THERAPYWORKS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2014
Last Update Date: 05/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1171 W TIPTON ST SUITE L
SEYMOUR IN
47274-2793
US

IV. Provider business mailing address

1171 W TIPTON ST SUITE L
SEYMOUR IN
47274-2793
US

V. Phone/Fax

Practice location:
  • Phone: 812-522-7007
  • Fax: 812-522-7043
Mailing address:
  • Phone: 812-522-7007
  • Fax: 812-522-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: VP, AUTHORIZED OFFICIAL
Credential: JD
Phone: 713-297-7000