South Sound Physical & Hand Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SOUTH SOUND PHYSICAL & HAND THERAPY PLLC

Practice address

111 Market St NE
Suite 108
Olympia, WA 98501-1008

Phone

(360) 754-7085

Fax

(360) 754-3671

NPI assigned

May 27, 2006

Last updated

Jun 15, 2015By the provider in NPPES

Organization subpart

No

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

Specialties & licenses 3

Addresses

Other identifiers 8

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Integrated Rehabilitation Group, PC

  dba Highlands Physical Therapy

  • Physical Therapy Clinic/Center
  • Issaquah, WA
  • NPI 1255636528

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• South Sound Physical & Hand Therapy LLC

  dba South Sound Physical & Hand Therapy

  • Physical Therapy Clinic/Center
  • Tumwater, WA
  • NPI 1245265883
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael S Okelley, PT

  • Physical Therapist
  • Everett, WA
  • NPI 1730142381
  Authorized official Same address or phone

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1548217631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 132ND ST SE",
            "address_2": "SUITE 101",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980128999",
            "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": "111 MARKET ST NE",
            "address_2": "SUITE 108",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985011008",
            "telephone_number": "360-754-7085",
            "fax_number": "360-754-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND PHYSICAL & HAND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-06-15",
        "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": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CRIME VICTIMS",
            "identifier": "0164914",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD GRP #",
            "identifier": "7108MA",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7683600",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA0695",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "3583413-00",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9054982",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR & INDUSTRY",
            "identifier": "0164914",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7112980",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Sound Medical Group, PLLC
• South Sound Neuropsychology Inc.
• South Sound Oral Surgery PLLC
• South Sound Pediatrics PLLC
• South Sound Pediatrics PLLC (South Sound Pediatrics)
• South Sound Pulmonary Associates
• South Sound Radiologists Inc P S (South Sound Radiology)
• South Sound Surgical Associates
• South Sound Vasectomy and Men's Health
• South Sound Women's Center LLP

• Physical Therapy Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.