1114116068 NPI number — MRS. ANNA KATHLEEN HARPER PT, MPT

Table of content: MRS. ANNA KATHLEEN HARPER PT, MPT (NPI 1114116068)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114116068 NPI number — MRS. ANNA KATHLEEN HARPER PT, MPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARPER
Provider First Name:
ANNA
Provider Middle Name:
KATHLEEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT, MPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BUTT
Provider Other First Name:
ANNA
Provider Other Middle Name:
KATHLEEN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1114116068
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/30/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
966 SAMPLES LN NW
Provider Second Line Business Mailing Address:
HELPING HANDS, INC.
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30318-4033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-713-3221
Provider Business Mailing Address Fax Number:
404-794-7065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
966 SAMPLES LN NW
Provider Second Line Business Practice Location Address:
HELPING HANDS, INC.
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30318-4033
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-713-3221
Provider Business Practice Location Address Fax Number:
404-794-7065
Provider Enumeration Date:
10/16/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2251P0200X , with the licence number:  PT009225 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225100000X , with the licence number: PT009225 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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