Bonney Lake Physical Therapy And Hand Rehab, Pllc
LBN: Bonney Lake Physical Therapy And Hand Rehab, Pllc
Bonney Lake Physical Therapy And Hand Rehab, Pllc is an health care organization with primary practice located at 20910 State Route 410 E , Bonney Lake WA 98391-6302. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Bonney Lake Physical Therapy And Hand Rehab, Pllc can be contacted via phone (253) 862-2575, or through Egbert, Michael Andrew via phone (253) 862-2575.
Contact Information
Primary practice address
20910 State Route 410 E
Bonney Lake WA 98391-6302
Phone: (253) 862-2575
Fax: (253) 862-2675
Website:
Authorized official contact:
Name: Egbert, Michael Andrew Physical Therapist (PT)
Phone: (253) 862-2575
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT5418 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT5418 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | OT2499 | Washington |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | OT2499 | Washington |
Profile Details
| NPI number | 1558509786 |
|---|---|
| LBN Legal business name | Bonney Lake Physical Therapy And Hand Rehab, Pllc |
| DBA Doing business as | |
| Authorized official | Egbert, Michael Andrew Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2009 |
| Last updated | Jan 19th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558509786 | NPPES |
| Washington | Other | 246114 | LABOR AND INDUSTRIES PT/ MICHAEL |
| Washington | Other | 7421EG | LABOR AND INDUSTRIES PT/ MICHAEL |
| Washington | Other | G8879641 | LABOR AND INDUSTRIES PT/ MICHAEL |
| Washington | Other | 246111 | LABOR AND INDUSTRIES PT/ MICHAEL |
| Washington | Other | 264113 | LABOR AND INDUSTRIES PT/ MICHAEL |
| Washington | Other | 6598CA | LABOR AND INDUSTRIES PT/ MICHAEL |
| Washington | MEDICAID | 7146897 | LABOR AND INDUSTRIES PT/ MICHAEL |
| Washington | Other | G8879917 | LABOR AND INDUSTRIES PT/ MICHAEL |
| Washington | Other | 8368854 | LABOR AND INDUSTRIES PT/ MICHAEL |
| Washington | Other | 8543712 | LABOR AND INDUSTRIES PT/ MICHAEL |
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