Provider Demographics
NPI:1215959747
Name:THERAPY ASSOCIATES
Entity type:Organization
Organization Name:THERAPY ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:POLICARPIO
Authorized Official - Suffix:
Authorized Official - Credentials:LPT
Authorized Official - Phone:956-664-9904
Mailing Address - Street 1:801 E NOLANA AVE
Mailing Address - Street 2:STE. 10
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6104
Mailing Address - Country:US
Mailing Address - Phone:956-664-9904
Mailing Address - Fax:956-664-9881
Practice Address - Street 1:804 W VETERANS BLVD
Practice Address - Street 2:STE. C
Practice Address - City:PALMVIEW
Practice Address - State:TX
Practice Address - Zip Code:78572-8155
Practice Address - Country:US
Practice Address - Phone:956-519-3003
Practice Address - Fax:956-519-3034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX676627Medicare Oscar/Certification