Theraque

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

THERAQUE

Doing business as

Theraque Health

Practice address

301 Government Center Dr Ste 200
Wilmington, NC 28403-1796

Phone

(910) 828-7117

Fax

(910) 828-7118

NPI assigned

Jun 28, 2022

Organization subpart

No

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

Authorized official

Name

Amber Wysocki

Title

Chief Executive Officer

Phone

(910) 828-7117

Specialties & licenses 4

Addresses

Other names 1

• Theraque Health Doing business as

Electronic endpoints 1

Locations

Practitioners 1

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

• Amber Victoria Bown

  • Behavior Technician
  • Asheville, NC
  • NPI 1902776024
  NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1225760325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOVERNMENT CENTER DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031796",
            "telephone_number": "910-828-7117",
            "fax_number": "910-828-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GOVERNMENT CENTER DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031796",
            "telephone_number": "910-828-7117",
            "fax_number": "910-828-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "WYSOCKI",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-828-7117"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theraquehealth.com",
            "affiliation": "N",
            "endpointDescription": "Remote Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Remote Care",
            "address_1": "301 Government Center Dr Ste 200",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284031796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Theraque Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therapy Connections, Inc.
• Therapy Kare, Inc
• Therapy Layne, PLLC
• Therapy Works of Wilmington
• Therapy Works of Wilmington, LLC
• Lois W Thibodeau, LMBT
• Heather Nicole Thigpen, MED, LCMHC, NCC
• Pamela M Thigpen, CD(DONA)
• Samantha Thode-Thiaw, MS OTR/L
• Linda Lee Thole, M.ED., LPC

• Corporate Health Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Corporate Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.