Provider Demographics
NPI:1275732117
Name:HANDS ON REHAB INC
Entity Type:Organization
Organization Name:HANDS ON REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIGAVAZIRA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:252-946-5549
Mailing Address - Street 1:202 N EDEN DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-3116
Mailing Address - Country:US
Mailing Address - Phone:252-946-5549
Mailing Address - Fax:252-946-5549
Practice Address - Street 1:202 N EDEN DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-3116
Practice Address - Country:US
Practice Address - Phone:252-946-5549
Practice Address - Fax:252-946-5549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7512225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211412Medicaid