Provider Demographics
NPI:1700210481
Name:CD PRACTICE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CD PRACTICE ASSOCIATES, INC.
Other - Org Name:HAMPSHIRE ORTHOPEDICS & SPORTS MEDICINE - PHYSICAL THERAPY-OCCUPATIONA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:EDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:PETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-582-2213
Mailing Address - Street 1:30 LOCUST ST
Mailing Address - Street 2:PO BOX 911
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2052
Mailing Address - Country:US
Mailing Address - Phone:413-582-2898
Mailing Address - Fax:413-582-2958
Practice Address - Street 1:4 WEST ST
Practice Address - Street 2:
Practice Address - City:WEST HATFIELD
Practice Address - State:MA
Practice Address - Zip Code:01088-9562
Practice Address - Country:US
Practice Address - Phone:413-586-8200
Practice Address - Fax:413-582-1460
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CD PRACTICE ASSOCIATES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty