1558655415 NPI number — HAND TO HAND OCCUPATIONAL THERAPY PLLC

Table of content: (NPI 1558655415)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558655415 NPI number — HAND TO HAND OCCUPATIONAL THERAPY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAND TO HAND OCCUPATIONAL THERAPY PLLC
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:
1558655415
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 GLEN ST
Provider Second Line Business Mailing Address:
SUITE 3 D
Provider Business Mailing Address City Name:
GLENS FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12801-4422
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-223-0119
Provider Business Mailing Address Fax Number:
866-317-3447

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 GLEN ST
Provider Second Line Business Practice Location Address:
SUITE 3 D
Provider Business Practice Location Address City Name:
GLENS FALLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12801-4422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-223-0119
Provider Business Practice Location Address Fax Number:
866-317-3447
Provider Enumeration Date:
06/07/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SCHLESIER
Authorized Official First Name:
KATE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/OCCUPATIONAL THERAPIST
Authorized Official Telephone Number:
518-223-0119

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  013495 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225XH1200X , with the licence number: 013495 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XP0019X , with the licence number: 013495 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , with the licence number: 6601520001 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 335E00000X , with the licence number: 6601520001 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 6601520001 . This is a "MEDICARE DMEPOS" identifier . This identifiers is of the category "OTHER".




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