1518118926 NPI number — ANOINTED HANDS PHYSICAL THERAPY, LLC

Table of content: (NPI 1518118926)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518118926 NPI number — ANOINTED HANDS PHYSICAL THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANOINTED HANDS PHYSICAL 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:
1518118926
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3330
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CROFTON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21114-0330
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-957-4463
Provider Business Mailing Address Fax Number:
301-809-8856

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
860 LARGO CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LARGO
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20774-3705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-333-3070
Provider Business Practice Location Address Fax Number:
301-809-8856
Provider Enumeration Date:
10/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BASKINS
Authorized Official First Name:
LISA
Authorized Official Middle Name:
HOPE
Authorized Official Title or Position:
VICE PRESIDENT/PHYSICAL THERAPIST
Authorized Official Telephone Number:
301-957-4463

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  17802 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2251G0304X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





Copyright © 2007-2024 www.npivalidator.com