Advanced Hand Therapy PC
Organization Active NPI Hand Occupational Therapist · Twin Falls, ID
NPI 1851653901 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1851653901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hand Occupational Therapist 225XH1200X
- License
- OT 242 (ID)
- Legal business name
- ADVANCED HAND THERAPY PC
- Practice address
- 840 Addison Ave
Twin Falls, ID 83301-5203 - Phone
- (208) 595-4941
- Fax
- (208) 731-1582
- NPI assigned
- Jun 14, 2012
- Organization subpart
- No
Authorized official
- Name
- Lesley S Ruby, OTR/L CHT
- Title
- Occupational Therapist/Owner
- Phone
- (208) 595-4941
Practitioners 2
-
Lesley Ruby, OT
-
Tamra Dimond, COTA/L, CLT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130314000078 | ID | Part B Supplier - Clinic/Group Practice | 7911142229 |
Receives reassigned benefits from 1 practitioner Practice locations: Twin Falls, ID |
| O20130802000191 | ID | DME Supplier - Independently-Practicing Occupational Therapist | 7911142229 | Practice locations: Twin Falls, ID |
National Provider Directory
Locations
840 Addison Ave
Twin Falls, ID 83301
Phone (208) 595-4941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist |
225XH1200X | OT 242 | ID | Yes |
Addresses
Primary practice location
840 Addison Ave
Twin Falls, ID 83301-5203
Mailing address
840 Addison Ave
Twin Falls, ID 83301-5203
Phone (208) 595-4941
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All providers in Twin Falls, ID · Hand Occupational Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.