Provider Demographics
NPI:1366870057
Name:THERAPY WORKS, INC.
Entity type:Organization
Organization Name:THERAPY WORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.T./OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEELY
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:870-847-3777
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:
Mailing Address - City:HARDY
Mailing Address - State:AR
Mailing Address - Zip Code:72542-0398
Mailing Address - Country:US
Mailing Address - Phone:870-847-3777
Mailing Address - Fax:
Practice Address - Street 1:31 CHOCTAW CENTER
Practice Address - Street 2:
Practice Address - City:CHEROKEE VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:72529
Practice Address - Country:US
Practice Address - Phone:870-856-4325
Practice Address - Fax:870-856-4327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2418PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR142606721Medicaid
AR1336137447Medicaid
AR5X070OtherBCBS