Healthcare Provider Details

I. General information

NPI: 1720477144
Provider Name (Legal Business Name): THERAPYWORKS CINCINNATI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4757 CORNELL RD STE 4A
BLUE ASH OH
45241-7400
US

IV. Provider business mailing address

4757 CORNELL RD STE 4A
BLUE ASH OH
45241-7400
US

V. Phone/Fax

Practice location:
  • Phone: 513-489-4919
  • Fax: 888-316-2604
Mailing address:
  • Phone: 513-489-4919
  • Fax: 888-316-2604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3541
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7492
License Number StateOH

VIII. Authorized Official

Name: MRS. CARRIE ELIZABETH STEENBERGEN
Title or Position: OWNER
Credential: MS CCC-SLP
Phone: 513-349-4919