Provider Demographics
NPI:1346516671
Name:HAMPSHIERE ORTHOPEDICS & SPORTS MEDICINE
Entity Type:Organization
Organization Name:HAMPSHIERE ORTHOPEDICS & SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-586-8200
Mailing Address - Street 1:PO BOX 359
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01090-0359
Mailing Address - Country:US
Mailing Address - Phone:413-788-6197
Mailing Address - Fax:413-731-1476
Practice Address - Street 1:4 WEST ST
Practice Address - Street 2:
Practice Address - City:WEST HATFIELD
Practice Address - State:MA
Practice Address - Zip Code:01088-9562
Practice Address - Country:US
Practice Address - Phone:413-586-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMPSHIERE ORTHOPEDICS AND SPORTS MEDICINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-30
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty