Healthcare Provider Details

I. General information

NPI: 1285524405
Provider Name (Legal Business Name): THERAPY WORKS OF WILMINGTON, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4114 SHIPYARD BLVD
WILMINGTON NC
28403-6155
US

IV. Provider business mailing address

4114 SHIPYARD BLVD
WILMINGTON NC
28403-6155
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-3898
  • Fax:
Mailing address:
  • Phone: 910-343-3898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: AMY S NOLAN
Title or Position: OWNER
Credential: MS, CCC-SLP
Phone: 910-343-8988