Provider Demographics
NPI:1518118926
Name:ANOINTED HANDS PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:ANOINTED HANDS PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:BASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:301-957-4463
Mailing Address - Street 1:PO BOX 3330
Mailing Address - Street 2:
Mailing Address - City:CROFTON
Mailing Address - State:MD
Mailing Address - Zip Code:21114-0330
Mailing Address - Country:US
Mailing Address - Phone:301-957-4463
Mailing Address - Fax:301-809-8856
Practice Address - Street 1:860 LARGO CENTER DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-3705
Practice Address - Country:US
Practice Address - Phone:301-333-3070
Practice Address - Fax:301-809-8856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-03
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17802225100000X
2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty