Provider Demographics
NPI:1376630509
Name:COMPREHENSIVE COMPRESSION THERAPIES, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE COMPRESSION THERAPIES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:F
Authorized Official - Last Name:BAYLINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-782-8760
Mailing Address - Street 1:1220 COTTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-3650
Mailing Address - Country:US
Mailing Address - Phone:215-782-8760
Mailing Address - Fax:215-635-7130
Practice Address - Street 1:1220 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-3650
Practice Address - Country:US
Practice Address - Phone:215-782-8760
Practice Address - Fax:215-635-7130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6102600001Medicare NSC