NPIMap

Organization Active NPI

Lynden Therapy Specialists, Inc.

Doing business as ReBound Physical, Occupational & Hand Therapies

  • Hand Occupational Therapist
  • Lynden, WA
National Provider Identifier
1023197100
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT00000415 Issued in WA
Legal business name
LYNDEN THERAPY SPECIALISTS, INC.
Doing business as
ReBound Physical, Occupational & Hand Therapies
Practice address
1610 Grover St Ste B2
Lynden, WA 98264-1539
Phone
(360) 354-5245
Fax
(360) 354-7796
NPI assigned
Nov 2, 2006
Last updated
Jan 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Christine A. Nelson, ATCNPI 1639109374
Title
Administrator
Phone
(360) 354-5245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X OT00000415 WA Primary

Addresses

Primary practice location

1610 Grover St Ste B2
Lynden, WA 98264-1539

Mailing address

1610 Grover St Ste B2
Lynden, WA 98264-1539
Phone (360) 354-5245

Other names 1

  • ReBound Physical, Occupational & Hand Therapies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110412000537 WA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0446434674 Practice locations: Bellingham, WA; Lynden, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023197100. Details of each certification follow.

  • CCN 506565 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 506565

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LYNDEN THERAPY SPECIALISTS
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Sep 10, 1997
Last certification
Aug 19, 2021
Ownership / control type
Proprietary
Facility address
1610 West Grover Street, Suite B2
Lynden, WA 98264

National Provider Directory

National Provider Directory

Locations

1610 Grover St
Ste B2
Lynden, WA 98264
Phone (360) 354-5245

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1023197100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST STE B2",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-354-5245",
            "fax_number": "360-354-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 GROVER ST STE B2",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641539",
            "telephone_number": "360-354-5245",
            "fax_number": "360-354-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDEN THERAPY SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-354-5245",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00000415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReBound Physical, Occupational & Hand Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynden, WA

Sources for this page

Verify at the official NPI Registry.