NPI Code Details Logo

NPI 1962964130

NPI 1962964130 : HERO THERAPY LLC : LEOMINSTER, MA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1962964130
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HERO THERAPY LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/04/2019
-----------------------------------------------------
    Last Update Date     |    07/11/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    435 LANCASTER ST STE 341D 
-----------------------------------------------------
    City                 |    LEOMINSTER
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    01453-4397
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    978-870-6935
-----------------------------------------------------
    Fax                  |    833-391-6677
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    435 LANCASTER ST STE 341D 
-----------------------------------------------------
    City                 |    LEOMINSTER
-----------------------------------------------------
    State                |    MA
-----------------------------------------------------
    Zip                  |    01453-4397
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    978-870-6935
-----------------------------------------------------
    Fax                  |    833-391-6677
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PARTNER/OCCUPATIONAL THERAPIST
-----------------------------------------------------
    Name                 |    MR. OUTHAI  SAENGKHEUNE 
-----------------------------------------------------
    Credential           |    OTR/L
-----------------------------------------------------
    Telephone            |    978-870-6935
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    224Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapy Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    225200000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapy Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    227900000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Respiratory Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.