Provider Demographics
NPI:1831387232
Name:HAND & REHABILITATION SPECIALISTS OF NORTH CAROLINA LLP
Entity type:Organization
Organization Name:HAND & REHABILITATION SPECIALISTS OF NORTH CAROLINA LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:W
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL CHT
Authorized Official - Phone:336-627-4263
Mailing Address - Street 1:257 W KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5009
Mailing Address - Country:US
Mailing Address - Phone:336-627-4263
Mailing Address - Fax:336-627-4255
Practice Address - Street 1:1130 N CHURCH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1008
Practice Address - Country:US
Practice Address - Phone:336-375-4263
Practice Address - Fax:336-375-4262
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAND & REHABILITATION SPECIALISTS OF NORTH CAROLINA LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-10
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCCE1514OtherMEDICARE RAILROAD
NC2502674OtherMEDICARE PHYSICAL THERAPY
NC0245GOtherBCBSNC
NC2510310OtherMEDICARE OCCUPATIONAL THERAPY
NC7212317Medicaid
NC1054440001Medicare NSC