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NPI Code Detail

MEDICARE: PT WORKS INC

MEDICARE: PT WORKS INC
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
1261QX0100XOccupational Medicine Clinic/Center
2111N00000XChiropractor
32081P0010XPediatric Rehabilitation Medicine Physician
4225100000XPhysical Therapist

General Provider Information

NPI Number : 1649861949
Entity Type Code : Organization
Provider Name (Legal Business Name) : PT WORKS INC
Provider Business Mailing Address
First Line : 78206 VARNER RD STE D
Second Line : BOX 158
City : PALM DESERT
State : CA
Zip : 92211-4136
Country : US
Telephone Number : 760-568-9811
Fax Number : 760-568-9866
Provider Business Practice Location Address
First Line : 43875 WASHINGTON ST STE G
Second Line :
City : PALM DESERT
State : CA
Zip : 92211-8249
Country : US
Telephone Number : 760-701-5046
Fax Number : 888-490-0261
Authorized Official
Title or Position : OWNER
Name : JAMES MAWHINEY
Credential : DPT
Telephone Number : 253-736-3219
Provider Enumeration Date : 01/29/2021
Last Update Date : 04/12/2023

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Directions to “PT WORKS INC ” Practice Location

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