Healthcare Provider Details
I. General information
NPI: 1275660193
Provider Name (Legal Business Name): THERAPY WORKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/27/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1001 ESTATE ROSS STE 6
ST THOMAS VI
00802-4601
US
IV. Provider business mailing address
PO BOX 302178
ST THOMAS VI
00803-2178
US
V. Phone/Fax
- Phone: 340-779-4678
- Fax: 340-715-4678
- Phone: 340-779-4678
- Fax: 340-715-4678
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | 121 |
| License Number State | VI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JERRY
RICHARD
SMITH
Title or Position: PRESIDENT
Credential: PT, DPT, ATC
Phone: 340-998-7719