1609995752 NPI number — MS. KATHLEEN CLAIR THOMAS OTR

Table of content: MS. KATHLEEN CLAIR THOMAS OTR (NPI 1609995752)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609995752 NPI number — MS. KATHLEEN CLAIR THOMAS OTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THOMAS
Provider First Name:
KATHLEEN
Provider Middle Name:
CLAIR
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
OTR
Provider Gender Code:
F

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:
1609995752
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
33 ANGELOS WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MASHPEE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02649-3064
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-477-1317
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FALMOUTH HOSPITAL REHABILITATION SERVICES 90 TER HEUN D
Provider Second Line Business Practice Location Address:
90 TER HEUN DRIVE
Provider Business Practice Location Address City Name:
FALMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02540
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-465-7600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2007

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: 225XH1200X , with the licence number:  1782 , 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)