1851590889 NPI number — HEALING HANDS PHYSICAL THERAPY, P.C.

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 1851590889 NPI number — HEALING HANDS PHYSICAL THERAPY, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALING HANDS PHYSICAL THERAPY, P.C.
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:
1851590889
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3180 WRIGHT ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHEAT RIDGE
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80215-6534
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-432-2112
Provider Business Mailing Address Fax Number:
303-432-2844

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5400 WARD ROAD
Provider Second Line Business Practice Location Address:
BLDG 1 #100
Provider Business Practice Location Address City Name:
ARVADA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80002-1820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-432-2112
Provider Business Practice Location Address Fax Number:
303-432-2844
Provider Enumeration Date:
07/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TAYLOR
Authorized Official First Name:
MARY
Authorized Official Middle Name:
CATHERINE
Authorized Official Title or Position:
OWNER , THERAPIST
Authorized Official Telephone Number:
303-432-2112

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  6080 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 80158277 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".




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