Provider Demographics
NPI:1285870014
Name:HANDS ON HEALTH MANUAL AND PHYSICAL THERAPY SERVICES LLC
Entity type:Organization
Organization Name:HANDS ON HEALTH MANUAL AND PHYSICAL THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH KUPISZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:630-219-0091
Mailing Address - Street 1:200 E 5TH AVE STE 121B
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-3100
Mailing Address - Country:US
Mailing Address - Phone:630-219-0091
Mailing Address - Fax:630-219-0029
Practice Address - Street 1:200 E 5TH AVE STE 121B
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3100
Practice Address - Country:US
Practice Address - Phone:630-219-0091
Practice Address - Fax:630-219-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24388225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY137MOtherBLUE CROSS BLUE SHIELD