Active NPI
Healing Hands Therapy Center, LLC
- Durable Medical Equipment & Medical Supplies
- Germantown, WI
National Provider Identifier
1396911764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41566900 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Milwaukee, WI
- NPI 1104063833
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.