Provider Demographics
NPI:1881887073
Name:ACTION HAND THERAPY INC
Entity type:Organization
Organization Name:ACTION HAND THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:L
Authorized Official - Middle Name:SHULTIS
Authorized Official - Last Name:KIERNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-366-0065
Mailing Address - Street 1:PO BOX 31833
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33420-1833
Mailing Address - Country:US
Mailing Address - Phone:561-366-0065
Mailing Address - Fax:561-366-0078
Practice Address - Street 1:3401 PGA BLVD
Practice Address - Street 2:500B
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2823
Practice Address - Country:US
Practice Address - Phone:561-366-0065
Practice Address - Fax:561-366-0078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OT674225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL890472300Medicaid
FLZ1322OtherBCBS
FLK5070Medicare PIN
FLZ1322OtherBCBS