NPIMap

Organization Active NPI

Hanover Health Corporation, Inc.

Doing business as Physical Medicine Specialist of Hanover

  • Physical Therapy Clinic/Center
  • Hanover, PA
National Provider Identifier
1952598658
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HANOVER HEALTH CORPORATION, INC.
Doing business as
Physical Medicine Specialist of Hanover
Practice address
250 Fame Ave
Suite 100
Hanover, PA 17331-1587
Phone
(717) 646-6915
Fax
(717) 646-6919
NPI assigned
Sep 27, 2007
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
HANOVER HEALTH CORPORATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Ms. Marilyn A. Olejnik
Title
Chief Financial Officer
Phone
(717) 633-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

250 Fame Ave
Suite 100
Hanover, PA 17331-1587

Mailing address

250 Fame Ave
Suite 100
Hanover, PA 17331-1587
Phone (717) 646-6915

Other identifiers 1

IdentifierTypeStateIssuer
1007777780013MedicaidPA

Other names 1

  • Physical Medicine Specialist of Hanover Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hanover HLTH Corp Inc6 organizations share this tax ID, including this one
Part of
Hanover HLTH Corp Inc

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

250 Fame Ave
Ste 100
Hanover, PA 17331
Phone (717) 316-7330

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1952598658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 100",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-646-6915",
            "fax_number": "717-646-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FAME AVE",
            "address_2": "SUITE 100",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311587",
            "telephone_number": "717-646-6915",
            "fax_number": "717-646-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER HEALTH CORPORATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANOVER HEALTH CORPORATION, INC.",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "OLEJNIK",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "717-633-3511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007777780013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Medicine Specialist of Hanover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.