Summit Hand Therapy, LLC

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

3313 Issued in MA

Legal business name

SUMMIT HAND THERAPY, LLC

Practice address

1022 Mount Whitney Dr
Summerville, SC 29483-3318

Phone

(413) 949-0986

NPI assigned

Dec 6, 2006

Last updated

Jul 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Ellen Manniello, OTNPI 1639238975

Title

President

Phone

(413) 949-0986

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Ellen Manniello, OT

  • Hand Occupational Therapist
  • Summerville, SC
  • NPI 1639238975
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1750440079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 MOUNT WHITNEY DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833318",
            "telephone_number": "413-949-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 MOUNT WHITNEY DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294833318",
            "telephone_number": "413-949-0986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "488 Newton St",
            "address_purpose": "LOCATION",
            "city": "South Hadley",
            "state": "MA",
            "postal_code": "010752010",
            "country_code": "US",
            "telephone_number": "413-532-3265",
            "fax_number": "339-224-9606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT HAND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "MANNIELLO",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-949-0986",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "MA",
            "license": "3313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abbegayle Ann Sutterfield, OTR L
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• Hand Occupational Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Hand Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.