1902869191 NPI number — HOOVER PHYSICAL THERAPY, P.C.

Table of content: (NPI 1902869191)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902869191 NPI number — HOOVER PHYSICAL THERAPY, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOOVER 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:
1902869191
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:
3507 MARKET STREET
Provider Second Line Business Mailing Address:
SUITE 301
Provider Business Mailing Address City Name:
CAMP HILL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17011-4539
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-737-1732
Provider Business Mailing Address Fax Number:
171-737-1175

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3507 MARKET ST STE 301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMP HILL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17011-4310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-737-1732
Provider Business Practice Location Address Fax Number:
171-737-1175
Provider Enumeration Date:
04/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HOOVER
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
RAYELLEN
Authorized Official Title or Position:
PHYSICAL THERAPIST/OWNER
Authorized Official Telephone Number:
717-737-1732

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: 50024428 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7203467 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com