Therapy Works LLC

Organization Active NPI Occupational Therapist · Thayne, WY

NPI 1639219983 · NPPES record last updated Mar 28, 2016

Key facts

NPI
1639219983
Entity type
Organization (NPI type 2)
Primary specialty
Occupational Therapist 225X00000X
License
OTR-538 (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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 1

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

Practitioners 6

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WY, ID

Medicare enrollment records

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

Tax ID family
Therapy Works LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X OTR-538 WY Yes

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

Other providers in Thayne, WY

All providers in Thayne, WY · Occupational Therapist in Wyoming

Sources for this page

Verify at the official NPI Registry.