Provider Demographics
NPI:1619059912
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:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEDELEA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:248-745-1914
Mailing Address - Street 1:2520 S TELEGRAPH RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0285
Mailing Address - Country:US
Mailing Address - Phone:248-745-1914
Mailing Address - Fax:248-745-1929
Practice Address - Street 1:2520 S TELEGRAPH RD
Practice Address - Street 2:SUITE 201
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0285
Practice Address - Country:US
Practice Address - Phone:248-745-1914
Practice Address - Fax:248-745-1929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISN008896225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI650F33540OtherBCBS
MI0P38940Medicare ID - Type Unspecified
MIP86847Medicare UPIN