1134107238 NPI number — HAND THERAPY OF DELAWARE

Table of content: (NPI 1134107238)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134107238 NPI number — HAND THERAPY OF DELAWARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAND THERAPY OF DELAWARE
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:
1134107238
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:
PO BOX 58
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTCHANIN
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19710-0058
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-995-7510
Provider Business Mailing Address Fax Number:
302-995-7511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
623 W NEWPORT PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWPORT
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19804-3235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-995-7510
Provider Business Practice Location Address Fax Number:
302-995-7511
Provider Enumeration Date:
01/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
CAMBRIDGE
Authorized Official First Name:
CATHERINE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER - DIRECTOR, HAND THERAPIST
Authorized Official Telephone Number:
302-995-7510

Provider Taxonomy Codes

  • Taxonomy code: 222Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2251H1200X , with the licence number: J10000111 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2251H1200X , with the licence number: 9105000185 ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2251H1200X , with the licence number: U10000043 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 261QM1300X , with the licence number: 1989025604 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 335E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 0548260001 . This is a "NSC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1000036066 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8190338 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".




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