Provider Demographics
NPI:1699761163
Name:THERAPY WORKS INC
Entity type:Organization
Organization Name:THERAPY WORKS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIRANDA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:281-487-1760
Mailing Address - Street 1:PO BOX 1254
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77501-1254
Mailing Address - Country:US
Mailing Address - Phone:281-930-0900
Mailing Address - Fax:281-930-0902
Practice Address - Street 1:321 W SAN AUGUSTINE ST
Practice Address - Street 2:STE. B
Practice Address - City:DEER PARK
Practice Address - State:TX
Practice Address - Zip Code:77536-4027
Practice Address - Country:US
Practice Address - Phone:281-930-0900
Practice Address - Fax:281-930-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-21
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPT1038099225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0057GDOtherBCBS
TX00092SMedicare PIN