Organization Active NPI

South Sound Physical & Hand Therapy LLC

  • Physical Therapy Clinic/Center
  • Tumwater, WA
National Provider Identifier
1245265883
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUTH SOUND PHYSICAL & HAND THERAPY LLC
Practice address
6981 Littlerock Rd SW
Suite 105
Tumwater, WA 98512-7226
Phone
(360) 352-7352
Fax
(360) 352-7680
NPI assigned
Jul 12, 2006
Organization subpart
Yes
Parent organization
SOUTH SOUND PHYSICAL & HAND THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Michael Shannon O'Kelley, MPTNPI 1730142381
Title
President/Owner
Phone
(425) 316-8046

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XH1200X WA
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6981 Littlerock Rd SW
Suite 105
Tumwater, WA 98512-7226

Mailing address

1519 132ND St SE
Suite a
Everett, WA 98208-7203
Phone (425) 357-9380

Other identifiers 1

IdentifierTypeStateIssuer
3583413-01OtherWAOWCP

Other names 1

  • South Sound Physical & Hand Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
South Sound Physical Hand Therapy PLLC

Locations

6981 Littlerock Rd SW
Ste 105
Tumwater, WA 98512
Phone (360) 352-7352

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1245265883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 132ND ST SE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087203",
            "telephone_number": "425-357-9380",
            "fax_number": "425-357-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 LITTLEROCK RD SW",
            "address_2": "SUITE 105",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127226",
            "telephone_number": "360-352-7352",
            "fax_number": "360-352-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND PHYSICAL & HAND THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SOUND PHYSICAL & HAND THERAPY LLC",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "O'KELLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "425-316-8046",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "3583413-01",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Sound Physical & Hand Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.