1972732949 NPI number — HANDPRINTS AND FOOTSTEPS PEDIATRIC THERAPY, LLC

Table of content: AKBER ALI DMD, MD (NPI 1205287448)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972732949 NPI number — HANDPRINTS AND FOOTSTEPS PEDIATRIC THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANDPRINTS AND FOOTSTEPS PEDIATRIC 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:
1972732949
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7917 FAWNWOOD LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEGA CAY
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29708-8221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-802-8593
Provider Business Mailing Address Fax Number:
704-626-6614

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2410 LORD ANSON DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAXHAW
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28173-6808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-802-8593
Provider Business Practice Location Address Fax Number:
704-626-6614
Provider Enumeration Date:
07/10/2009

Additional Information

Authorized Official

Authorized Official Last Name:
SEAY
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
Authorized Official Title or Position:
PHYSICAL THERAPIST
Authorized Official Telephone Number:
803-370-1593

Provider Taxonomy Codes

  • Taxonomy code: 225XP0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251P0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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