Organization Active NPI

Northwest Hand Therapy LLC

  • Specialist
  • Enumclaw, WA
National Provider Identifier
1285656256
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT00002354 Issued in WA
Legal business name
NORTHWEST HAND THERAPY LLC
Practice address
2820 Griffin Ave Ste 110
Enumclaw, WA 98022-2373
Phone
(360) 802-6838
Fax
(360) 802-6839
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Susan D Louie, OTR/LNPI 1932156015
Title
Owner
Phone
(360) 802-6838

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OT00002354 WA Primary
Customized Equipment (DME) 332BC3200X OT00002354 WA

Addresses

Primary practice location

2820 Griffin Ave Ste 110
Enumclaw, WA 98022-2373

Mailing address

PO Box 97115
Lakewood, WA 98497-0115
Phone (253) 588-7911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225001124 WA Part B Supplier - Clinic/Group Practice 7113813155 Receives reassigned benefits from 1 practitioner
Practice locations: Enumclaw, WA
O20100930067719 WA DME Supplier - Independently-Practicing Occupational Therapist 7113813155 Practice locations: Enumclaw, WA

National Provider Directory

National Provider Directory
Tax ID family
Northwest Hand Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2820 Griffin Ave
Ste 210
Enumclaw, WA 98022
Phone (360) 802-6838

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1285656256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-984-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 GRIFFIN AVE STE 110",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222373",
            "telephone_number": "360-802-6838",
            "fax_number": "360-802-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "LOUIE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-802-6838",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "OT00002354",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "OT00002354",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.