Provider Demographics
NPI:1073698205
Name:HANDS ON PHYSICAL THERAPY
Entity Type:Organization
Organization Name:HANDS ON PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:NADINE
Authorized Official - Last Name:PARIS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, LMT
Authorized Official - Phone:607-256-2603
Mailing Address - Street 1:215 N CAYUGA ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-4329
Mailing Address - Country:US
Mailing Address - Phone:607-256-2603
Mailing Address - Fax:607-256-2603
Practice Address - Street 1:215 N CAYUGA ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-4329
Practice Address - Country:US
Practice Address - Phone:607-256-2603
Practice Address - Fax:607-256-2603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006640-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0778Medicare ID - Type Unspecified