Provider Demographics
NPI:1689609612
Name:HAND & REHABILITATION SPECIALISTS OF NORTH CAROLINA LLP
Entity Type:Organization
Organization Name:HAND & REHABILITATION SPECIALISTS OF NORTH CAROLINA LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-627-4263
Mailing Address - Street 1:257 W KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5009
Mailing Address - Country:US
Mailing Address - Phone:336-627-4263
Mailing Address - Fax:336-627-4255
Practice Address - Street 1:610 N FAYETTEVILLE ST STE 201
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4671
Practice Address - Country:US
Practice Address - Phone:336-633-4263
Practice Address - Fax:336-633-4267
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAND & REHABILITATION SPECIALISTS OF NORTH CAROLINA LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-11
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC225100000X, 2251H1200X, 225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2502674OtherMEDICARE PHYSICAL THERAPY
NC7211109Medicaid
NC0245GOtherBCBSNC
NCCE1514OtherMEDICARE RAILROAD
NC2502674OtherMEDICARE PHYSICAL THERAPY
NCCE1514OtherMEDICARE RAILROAD