Provider Demographics
NPI:1386358703
Name:THERAPYDEX, LLC
Entity type:Organization
Organization Name:THERAPYDEX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:COTA/L
Authorized Official - Phone:803-493-3567
Mailing Address - Street 1:3006 BEAVER DAM DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28110-7651
Mailing Address - Country:US
Mailing Address - Phone:803-493-3567
Mailing Address - Fax:
Practice Address - Street 1:3006 BEAVER DAM DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28110-7651
Practice Address - Country:US
Practice Address - Phone:803-493-3567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty