Provider Demographics
NPI:1043510225
Name:LAURA MCCARTHY, OTR, CHT, PA
Entity Type:Organization
Organization Name:LAURA MCCARTHY, OTR, CHT, PA
Other - Org Name:LB HAND THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CHT
Authorized Official - Phone:410-997-0037
Mailing Address - Street 1:6726 CARLINDA AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1107
Mailing Address - Country:US
Mailing Address - Phone:410-997-0037
Mailing Address - Fax:410-997-3510
Practice Address - Street 1:6726 CARLINDA AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1107
Practice Address - Country:US
Practice Address - Phone:410-997-0037
Practice Address - Fax:410-997-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01708225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD147091800OtherFEDERAL WORKER'S COMPENSATION DOL
MD5471053OtherAETNA
MDG9330-001OtherBLUE CROSS BLUE SHIELD OF NATIONAL CAPITAL
MDKD86OtherBLUE CROSS BLUE SHIELD OF MARYLAND
MD=========OtherTRICARE
MD5471053OtherAETNA
MD230919Medicare PIN