Provider Demographics
NPI:1245257187
Name:CERTIFIED HAND REHABILITATION, PLLC
Entity type:Organization
Organization Name:CERTIFIED HAND REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER; OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CHT
Authorized Official - Phone:480-429-5266
Mailing Address - Street 1:10304 N HAYDEN RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1217
Mailing Address - Country:US
Mailing Address - Phone:480-429-5266
Mailing Address - Fax:480-429-5297
Practice Address - Street 1:10304 N HAYDEN RD
Practice Address - Street 2:SUITE 8
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1217
Practice Address - Country:US
Practice Address - Phone:480-429-5266
Practice Address - Fax:480-429-5297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0395174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZR10769Medicare UPIN
AZZ62524Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER NUMBE
AZZ62522Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER