1053841445 NPI number — IMPROVE PHYSICAL THERAPY & HAND CENTER LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053841445 NPI number — IMPROVE PHYSICAL THERAPY & HAND CENTER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
IMPROVE PHYSICAL THERAPY & HAND CENTER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053841445
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4522 MACCORKLE AVE SE STE 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLESTON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25304-1840
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-925-4325
Provider Business Mailing Address Fax Number:
304-925-6000

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4522 MACCORKLE AVE SE STE 1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25304-1840
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-552-8491
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2017

Additional Information

Authorized Official

Authorized Official Last Name:
WARNER
Authorized Official First Name:
TODD
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/MANAGER
Authorized Official Telephone Number:
304-925-4325

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com