NPIMap

Organization Active NPI

Therapy Works LLC

  • Occupational Therapist
  • Thayne, WY
National Provider Identifier
1639219983
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR-538 Issued in WY
Legal business name
THERAPY WORKS LLC
Practice address
487A N Main St
Thayne, WY 83127
Phone
(307) 883-8877
Fax
(307) 883-8876
NPI assigned
Feb 7, 2007
Last updated
Mar 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Mr. Eric Boone Hodges, OTNPI 1962423335
Title
Owner
Phone
(307) 887-2877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTR-538 WY Primary

Addresses

Primary practice location

487A N Main St
Thayne, WY 83127

Mailing address

PO Box 860
487A N Main St
Thayne, WY 83127-0860
Phone (307) 883-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070504000083 WY Part B Supplier - Clinic/Group Practice 7618073891 Receives reassigned benefits from 4 practitioners
Practice locations: Afton, WY; Thayne, WY
O20130523000078 ID Part B Supplier - Clinic/Group Practice 7618073891 Receives reassigned benefits from 1 practitioner
Practice locations: Montpelier, ID

National Provider Directory

National Provider Directory
Tax ID family
Therapy Works LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1639219983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "address_2": "487A N MAIN ST",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "831270860",
            "telephone_number": "307-883-8877",
            "fax_number": "307-883-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487A N MAIN ST",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "83127",
            "telephone_number": "307-883-8877",
            "fax_number": "307-883-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "BOONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-887-2877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OTR-538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thayne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.