MEDICARE: THERAPYWORKS PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1558785386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPYWORKS PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	1171 W TIPTON ST
Second Line	:	SUITE L
City	:	SEYMOUR
State	:	IN
Zip	:	47274-2793
Country	:	US
Telephone Number	:	812-522-7007
Fax Number	:	812-522-7043

Provider Business Practice Location Address
First Line	:	4210 W JONATHAN MOORE PIKE
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-9585
Country	:	US
Telephone Number	:	812-378-4182
Fax Number	:	812-379-4194

Authorized Official
Title or Position	:	VP, AUTHORIZED OFFICIAL
Name	:	RICHARD BINSTEIN
Credential	:
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	02/14/2014
Last Update Date	:	02/14/2014

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