NPIMap

Organization Active NPI

Hand Therapy Specialist, LLC

  • Durable Medical Equipment & Medical Supplies
  • Olympia, WA
National Provider Identifier
1205011970
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
OT00000867 Issued in WA
Legal business name
HAND THERAPY SPECIALIST, LLC
Practice address
3435 Martin Way E Ste C
Olympia, WA 98506-5071
Phone
(360) 923-5840
Fax
(360) 459-4836
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Mr. Daniel C Mendiola, OTR/L, C,H.T.
Title
Owner
Phone
(360) 923-5840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X OT00000867 WA Primary

Addresses

Primary practice location

3435 Martin Way E Ste C
Olympia, WA 98506-5071

Mailing address

417 W Main St Ste B
Centralia, WA 98531-4263
Phone (360) 807-0630

Other identifiers 1

IdentifierTypeStateIssuer
7681877MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1205011970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W MAIN ST STE B",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314263",
            "telephone_number": "360-807-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 MARTIN WAY E STE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065071",
            "telephone_number": "360-923-5840",
            "fax_number": "360-459-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND THERAPY SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-923-5840",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L, C,H.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "OT00000867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7681877",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.