Pacific Handworks Inc., P.S.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

OT00000695 Issued in WA

Legal business name

PACIFIC HANDWORKS INC., P.S.

Practice address

2800 Northup Way
#200
Bellevue, WA 98004-1440

Phone

(425) 827-5877

Fax

(425) 827-5843

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Vallon, OTR/L, CHTNPI 1518135839

Title

President/Owner

Phone

(425) 827-5877

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea J Vallon, OTR/L CHT

  • Hand Occupational Therapist
  • Pittsfield, MA
  • NPI 1518135839
  NPD (past) Authorized official
• Nancy McHugh, OT

  • Occupational Therapist
  • Kent, WA
  • NPI 1548225071
  NPD (past)
• Kalaivani Moodaly, OTR/L

  • Occupational Therapist
  • Bellevue, WA
  • NPI 1588833776
  NPD (past)
• Lisa Walker, MOTR/L

  • Occupational Therapist
  • Bellevue, WA
  • NPI 1134398324
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1114026648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 NORTHUP WAY",
            "address_2": "#200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041440",
            "telephone_number": "425-827-5877",
            "fax_number": "425-827-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NORTHUP WAY",
            "address_2": "#200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041440",
            "telephone_number": "425-827-5877",
            "fax_number": "425-827-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HANDWORKS INC., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "VALLON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "425-827-5877",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "WA",
            "license": "OT00000695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5477383",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "VA0026",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8340119",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0000026062702",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "55951",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Coast Integrated Medical Group PLLC
• Pacific Coast Medical Group
• Pacific Enterprises, Inc.
• Pacific Handworks Inc., P.S.
• Pacific Handworks Inc., P.S.
• Pacific Handworks Inc., P.S.
• Pacific Medical Associates PLLC
• Pacific Medical Staffing Inc.
• Pacific Medical Systems, Inc.
• Pacific North Chiropractic Inc.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.