1275749376 NPI number — 2 THUMBS UP HAND THERAPY LLC

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 1275749376 NPI number — 2 THUMBS UP HAND THERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
2 THUMBS UP HAND THERAPY LLC
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:
1275749376
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
99 LONGWATER CIR STE 102
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORWELL
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02061-1643
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-421-3771
Provider Business Mailing Address Fax Number:
781-421-3943

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 WATER ST
Provider Second Line Business Practice Location Address:
C104
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02360-4060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-746-4434
Provider Business Practice Location Address Fax Number:
508-746-4432
Provider Enumeration Date:
05/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BELL-NAGLE
Authorized Official First Name:
THERESA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
781-421-3771

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  3102 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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