Provider Demographics
NPI:1245391747
Name:HEALTHCARE SPECIALTY SERVICES INC.
Entity Type:Organization
Organization Name:HEALTHCARE SPECIALTY SERVICES INC.
Other - Org Name:WASHINGTON PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOHRER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, CHT
Authorized Official - Phone:636-390-1700
Mailing Address - Street 1:901 PATIENTS FIRST DR
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:WASHINGTON
Mailing Address - State:MO
Mailing Address - Zip Code:63090-4700
Mailing Address - Country:US
Mailing Address - Phone:636-390-1700
Mailing Address - Fax:636-390-1701
Practice Address - Street 1:901 PATIENTS FIRST DR
Practice Address - Street 2:SUITE 1800
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4700
Practice Address - Country:US
Practice Address - Phone:636-390-1700
Practice Address - Fax:636-390-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000014068225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000014068Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER