Provider Demographics
NPI: | 1851798193 |
---|---|
Name: | PINWHEEL THERAPY LLC |
Entity Type: | Organization |
Organization Name: | PINWHEEL THERAPY LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGING PARTNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SALLY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | VULCANO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MA-CCC |
Authorized Official - Phone: | 480-998-1477 |
Mailing Address - Street 1: | 9595 SIX PINES DR |
Mailing Address - Street 2: | BLD 8, LEVEL2. SUITE 8210 |
Mailing Address - City: | THE WOODLANDS |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77380-1531 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 480-998-1477 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 7702 E DOUBLETREE RANCH RD |
Practice Address - Street 2: | SUITE 300 |
Practice Address - City: | SCOTTSDALE |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85258-2129 |
Practice Address - Country: | US |
Practice Address - Phone: | 480-998-1477 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-12-02 |
Last Update Date: | 2014-12-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Single Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty | |
No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Single Specialty |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Single Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Single Specialty | |
No | 225XF0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Feeding, Eating & Swallowing | Group - Single Specialty |
No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Single Specialty |
No | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist | Speech-Language Assistant | Group - Single Specialty |
No | 253Z00000X | Agencies | In Home Supportive Care | Group - Single Specialty |