Organization Active NPI

Healing Hands Therapy Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Germantown, WI
National Provider Identifier
1396911764
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEALING HANDS THERAPY CENTER, LLC
Practice address
W156N9666 Pilgrim Road
Germantown, WI 53022-4257
Phone
(414) 476-9008
Fax
(414) 476-9089
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debra Lynne Luckow, NMT PT
Title
President
Phone
(414) 476-9008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

W156N9666 Pilgrim Road
Germantown, WI 53022-4257

Mailing address

W156N9666 Pilgrim Rd
Germantown, WI 53022-5102
Phone (414) 476-9008

Other identifiers 1

IdentifierTypeStateIssuer
41566900MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1396911764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N9666 PILGRIM RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530225102",
            "telephone_number": "414-476-9008",
            "fax_number": "414-476-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N9666 PILGRIM ROAD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224257",
            "telephone_number": "414-476-9008",
            "fax_number": "414-476-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "LUCKOW",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-476-9008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NMT PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41566900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.