Provider Demographics
NPI: | 1518386507 |
---|---|
Name: | CARING HANDS PHYSICAL THERAPY, LLC |
Entity Type: | Organization |
Organization Name: | CARING HANDS PHYSICAL THERAPY, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | SOLE MEMBER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | LACEY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SKIBITSKY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PT, DPT |
Authorized Official - Phone: | 303-902-3481 |
Mailing Address - Street 1: | 4542 NC HWY 87 S |
Mailing Address - Street 2: | |
Mailing Address - City: | SANFORD |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27332-8589 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 303-902-3481 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4542 NC HIGHWAY 87 S |
Practice Address - Street 2: | |
Practice Address - City: | SANFORD |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27332-0212 |
Practice Address - Country: | US |
Practice Address - Phone: | 919-498-9300 |
Practice Address - Fax: | 919-498-9308 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-04-07 |
Last Update Date: | 2014-07-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 14135 | 225100000X, 2251C2600X, 2251E1200X, 2251G0304X, 2251H1200X, 2251H1300X, 2251N0400X, 2251S0007X, 2251X0800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty | |
No | 2251C2600X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Cardiopulmonary | Group - Single Specialty |
No | 2251E1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Ergonomics | Group - Single Specialty |
No | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Geriatrics | Group - Single Specialty |
No | 2251H1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand | Group - Single Specialty |
No | 2251H1300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Human Factors | Group - Single Specialty |
No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Single Specialty |
No | 2251S0007X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Sports | Group - Single Specialty |
No | 2251X0800X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Orthopedic | Group - Single Specialty |