Provider Demographics
NPI:1427613405
Name:COMMONWEALTH HAND THERAPY
Entity type:Organization
Organization Name:COMMONWEALTH HAND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUP THERAPIST/PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:859-447-8600
Mailing Address - Street 1:330 WALLER AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-2930
Mailing Address - Country:US
Mailing Address - Phone:859-447-8600
Mailing Address - Fax:859-447-8599
Practice Address - Street 1:105 LAWSON DR STE 4
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-9696
Practice Address - Country:US
Practice Address - Phone:502-642-5400
Practice Address - Fax:502-642-5411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment