Provider Demographics
NPI:1588852487
Name:HANDS ON PHYSICAL THERAPY,INC
Entity Type:Organization
Organization Name:HANDS ON PHYSICAL THERAPY,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:TURNBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-269-0107
Mailing Address - Street 1:1439 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-9024
Mailing Address - Country:US
Mailing Address - Phone:919-557-2111
Mailing Address - Fax:919-557-5543
Practice Address - Street 1:1439 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-9024
Practice Address - Country:US
Practice Address - Phone:919-557-2111
Practice Address - Fax:919-557-5543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0700001290261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0253VOtherBLUE CROSS BLUE SHIELD
NC0253VOtherBLUE CROSS BLUE SHIELD