1912955279 NPI number — HANDS ON PHYSICAL THERAPY, INC

Table of content: (NPI 1912955279)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912955279 NPI number — HANDS ON PHYSICAL THERAPY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANDS ON PHYSICAL THERAPY, INC
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:
1912955279
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21 ANNA DR
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
CLAYTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-359-2222
Provider Business Mailing Address Fax Number:
919-359-2922

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21 ANNA DR
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
CLAYTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-359-2222
Provider Business Practice Location Address Fax Number:
919-359-2922
Provider Enumeration Date:
05/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
TURNBAUGH
Authorized Official First Name:
LISA
Authorized Official Middle Name:
DIANE
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
919-269-0107

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  0700001290 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0253V . This is a "BCBS GROUP PROVIDER #" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




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