=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760328843
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PANHANDLE REHABILITATION AND HAND THERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/28/2026
-----------------------------------------------------
Last Update Date | 04/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 BOX BUTTE AVE
-----------------------------------------------------
City | HEMINGFORD
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69348-9700
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-266-1023
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3834 RIVER RD
-----------------------------------------------------
City | MARSLAND
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69354-2718
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-266-1023
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OCCUPATIONAL THERAPIST
-----------------------------------------------------
Name | TALISA L. BROWN
-----------------------------------------------------
Credential | MOT, OTR/L, CHT
-----------------------------------------------------
Telephone | 402-266-1023
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XH1200X
-----------------------------------------------------
Taxonomy Name | Hand Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------