Provider Demographics
NPI:1457350803
Name:THERAPIES UNLIMITED, INC
Entity type:Organization
Organization Name:THERAPIES UNLIMITED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:GAGNON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:717-540-3446
Mailing Address - Street 1:4386 STURBRIDGE DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3668
Mailing Address - Country:US
Mailing Address - Phone:717-540-3446
Mailing Address - Fax:717-540-3447
Practice Address - Street 1:4386 STURBRIDGE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3668
Practice Address - Country:US
Practice Address - Phone:717-540-3446
Practice Address - Fax:717-540-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-19
Last Update Date:2011-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008447L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PATH1312977OtherHIGHMARK BLUE SHIELD (ST)
PA01840050Medicaid
PA2584817OtherAETNA US HEALTHCARE
PA02948200OtherCAPITAL BLUE CROSS
PATH862313OtherHIGHMARK BLUE SHIELD
PA1537903OtherGATEWAY
PA01840050Medicaid
PATH1312977OtherHIGHMARK BLUE SHIELD (ST)
PATH862313OtherHIGHMARK BLUE SHIELD