Provider Demographics
NPI:1124057310
Name:BERKS HAND THERAPY CENTER
Entity type:Organization
Organization Name:BERKS HAND THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-376-1902
Mailing Address - Street 1:1435 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2133
Mailing Address - Country:US
Mailing Address - Phone:610-376-1902
Mailing Address - Fax:610-376-5296
Practice Address - Street 1:1435 PENN AVE
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2133
Practice Address - Country:US
Practice Address - Phone:610-376-1902
Practice Address - Fax:610-376-5296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002710L225100000X
PAOC000668L225XH1200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA711385OtherBLUE CROSS BLUE SHIELD
PA02705700OtherCAPITAL BLUE CROSS
PA02705700OtherCAPITAL BLUE CROSS
PADR533491Medicare PIN