1164672903 NPI number — OPEN HANDS THERAPY LLP

Table of content: (NPI 1164672903)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164672903 NPI number — OPEN HANDS THERAPY LLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OPEN HANDS THERAPY LLP
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:
1164672903
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5576 FOXTAIL LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARLSBAD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92010-7152
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
551-221-2228
Provider Business Mailing Address Fax Number:
760-994-1232

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5620 PASEO DEL NORTE
Provider Second Line Business Practice Location Address:
#127C-130
Provider Business Practice Location Address City Name:
CARLSBAD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92008-4461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
551-221-2228
Provider Business Practice Location Address Fax Number:
760-994-1232
Provider Enumeration Date:
09/29/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FELICIANO
Authorized Official First Name:
JOSE
Authorized Official Middle Name:
MANULETE
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
760-918-0661

Provider Taxonomy Codes

  • Taxonomy code: 224Z00000X , with the licence number:  OTA1138 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: PT20695 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225100000X , with the licence number: PT25676 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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