MEDICARE: HAND IN HAND THERAPY SPECIALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	22003349A	IN
2	174400000X	Specialist	310002939A	IN
3	235Z00000X	Speech-Language Pathologist	22002279A	IN
4	235Z00000X	Speech-Language Pathologist	22002999A	IN
5	225100000X	Physical Therapist	05006769A	IN
6	235Z00000X	Speech-Language Pathologist	22002907A	IN
7	235Z00000X	Speech-Language Pathologist	22003959A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487713269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND IN HAND THERAPY SPECIALISTS

Provider Business Mailing Address
First Line	:	2837 E DUPONT RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-1668
Country	:	US
Telephone Number	:	260-497-0328
Fax Number	:	260-497-0904

Provider Business Practice Location Address
First Line	:	2837 E DUPONT RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-1668
Country	:	US
Telephone Number	:	260-497-0328
Fax Number	:	260-497-0904

Authorized Official
Title or Position	:	OWNER PROVIDER
Name	:	MRS. KARI A MASON
Credential	:	MA CCC SLP
Telephone Number	:	260-497-0328

Provider Enumeration Date	:	12/07/2006
Last Update Date	:	06/19/2008

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Directions to “HAND IN HAND THERAPY SPECIALISTS ” Practice Location

Language	Start Address	Practice Location

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