Concept Occupational & Hand Therapy, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003180 Issued in WA

Legal business name

CONCEPT OCCUPATIONAL & HAND THERAPY, INC.

Practice address

16527 Alderwood Mall Pkwy
Lynnwood, WA 98037-3202

Phone

(425) 741-0056

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Miss Hsiao-Siu Chang, MS, OTR, CHT

Title

Owner

Phone

(425) 741-0056

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1386627370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16527 ALDERWOOD MALL PKWY",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16527 ALDERWOOD MALL PKWY",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373202",
            "telephone_number": "425-741-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT OCCUPATIONAL & HAND THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "HSIAO-SIU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-741-0056",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS, OTR, CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8348377",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.