South Sound Physical & Hand Therapy Pllc
LBN: South Sound Physical & Hand Therapy Pllc
South Sound Physical & Hand Therapy Pllc is an health care organization with primary practice located at 111 Market St Ne Suite 108, Olympia WA 98501-1008. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
South Sound Physical & Hand Therapy Pllc can be contacted via phone (360) 754-7085, or through O'Kelley, Michael Shannon via phone (425) 316-8046.
Contact Information
Primary practice address
111 Market St Ne Suite 108
Olympia WA 98501-1008
Phone: (360) 754-7085
Fax: (360) 754-3671
Website:
Authorized official contact:
Name: O'Kelley, Michael Shannon Master of Physical Therapy (MPT)
Phone: (425) 316-8046
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | Washington | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1548217631 |
|---|---|
| LBN Legal business name | South Sound Physical & Hand Therapy Pllc |
| DBA Doing business as | |
| Authorized official | O'Kelley, Michael Shannon Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Jun 15th, 2015 - about 10 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 | 1548217631 | NPPES |
| Washington | Other | 0164914 | DEPT. OF LABOR & INDUSTRY |
| Washington | Other | 0164914 | DEPT. OF LABOR & INDUSTRY |
| Washington | Other | DA0695 | DEPT. OF LABOR & INDUSTRY |
| Washington | Other | 3583413-00 | DEPT. OF LABOR & INDUSTRY |
| Washington | Other | 7108MA | DEPT. OF LABOR & INDUSTRY |
| Washington | MEDICAID | 9054982 | DEPT. OF LABOR & INDUSTRY |
| Washington | MEDICAID | 7683600 | DEPT. OF LABOR & INDUSTRY |
| Washington | MEDICAID | 7112980 | DEPT. OF LABOR & INDUSTRY |
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