Provider Demographics
NPI:1740532415
Name:HADLEY WINTHROP LLC
Entity type:Organization
Organization Name:HADLEY WINTHROP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WINTHROP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-681-5071
Mailing Address - Street 1:6232 KELLY DR
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-6231
Mailing Address - Country:US
Mailing Address - Phone:484-681-5071
Mailing Address - Fax:
Practice Address - Street 1:1000 REGATTA CIR
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-6202
Practice Address - Country:US
Practice Address - Phone:856-278-2972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA259775OtherMEDICARE PTAN