MEDICARE: HAND THERAPY PARTNERS LLC

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	225XH1200X	Hand Occupational Therapist

General Provider Information

NPI Number	:	1770276636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND THERAPY PARTNERS LLC

Provider Business Mailing Address
First Line	:	522 N CENTRAL AVE UNIT 679
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85001-2631
Country	:	US
Telephone Number	:	480-206-6240
Fax Number	:

Provider Business Practice Location Address
First Line	:	5017 E WASHINGTON ST STE 107
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-2033
Country	:	US
Telephone Number	:	480-454-6749
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARY EDGAR
Credential	:
Telephone Number	:	480-206-6240

Provider Enumeration Date	:	05/29/2023
Last Update Date	:	05/29/2023

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