1346308897 NPI number — HANDS-ON PLUS SPINE & ORTHOPEDIC PHYSICAL THERAPY

Table of content: CAROLYN MARIE BANNATYNE RN (NPI 1811610231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346308897 NPI number — HANDS-ON PLUS SPINE & ORTHOPEDIC PHYSICAL THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANDS-ON PLUS SPINE & ORTHOPEDIC PHYSICAL THERAPY
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:
1346308897
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
452 EXETER CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GALLOWAY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08205-6682
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-965-9552
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
714 W WHITE HORSE PIKE
Provider Second Line Business Practice Location Address:
STE. B
Provider Business Practice Location Address City Name:
EGG HARBOR CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08215-3838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-952-9552
Provider Business Practice Location Address Fax Number:
609-965-9553
Provider Enumeration Date:
12/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BERNARDO
Authorized Official First Name:
LARELISA MARIE
Authorized Official Middle Name:
RAMOS
Authorized Official Title or Position:
DIRECT OWNER
Authorized Official Telephone Number:
609-965-9552

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)

  • Identifier: 2400252000 . This is a "AMERIHEALTH" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".




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