Provider Demographics
NPI:1518087758
Name:HAND THERAPY ASSOCIATES, INC
Entity Type:Organization
Organization Name:HAND THERAPY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LENORE
Authorized Official - Middle Name:D
Authorized Official - Last Name:FROST
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, OTR/L, CHT
Authorized Official - Phone:203-389-8177
Mailing Address - Street 1:245 AMITY RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2258
Mailing Address - Country:US
Mailing Address - Phone:203-389-8177
Mailing Address - Fax:203-387-9447
Practice Address - Street 1:245 AMITY RD
Practice Address - Street 2:SUITE 207
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2258
Practice Address - Country:US
Practice Address - Phone:203-389-8177
Practice Address - Fax:203-387-9447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CT00310225X00000X
CT000310225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC01783Medicare PIN
CT670000006Medicare ID - Type Unspecified
CT0579580001Medicare NSC