Therapy Space LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THERAPY SPACE LLC

Practice address

740 Regent St Ste 202
Madison, WI 53715-2649

Phone

(608) 572-2101

NPI assigned

Feb 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenda Lynn Heideman, LCSWNPI 1659422863

Title

Co-Owner

Phone

(608) 572-2101

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Lynn Heideman, LCSW

  • Clinical Social Worker
  • Madison, WI
  • NPI 1659422863
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1073105011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 REGENT ST STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152649",
            "telephone_number": "608-572-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 REGENT ST STE 202",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152649",
            "telephone_number": "608-572-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "HEIDEMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "608-572-2101",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alanna Thelen, OTR/L
• Then and Now Adult Day Center LLC
• Anuradha Thenkondar, M.B.B.S.
• Susan Margaret Theobald
• Therapist Person LLC
• Ketty Thertus, M.D.
• Lyn A Thet, MD
• Susan Thibeault, SLP
• Cassidy Thiede
• Amanda Thiers, DPT

• Clinic/Center in Madison, WI
• Providers in Madison, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.