Basic Information
| Provider Information | |||||||||
| NPI: | 1396807129 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THERAPY SOLUTIONS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 W. MAIN ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | VAN WERT | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45860 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192380715 | ||||||||
| FaxNumber: | 4192381625 | ||||||||
| Practice Location | |||||||||
| Address1: | 835 N WILLIAMS ST | ||||||||
| Address2: | |||||||||
| City: | PAULDING | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458791064 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4192380715 | ||||||||
| FaxNumber: | 4192381625 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ALBERS | ||||||||
| AuthorizedOfficialFirstName: | DEBBIE | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4192380715 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 2412348 | 05 | OH | MEDICAID |