NPIMap

Organization Active NPI

Hand Therapy Specialist, LLC

  • Specialist
  • Olympia, WA
National Provider Identifier
1659461341
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
OT00000867 Issued in WA
Legal business name
HAND THERAPY SPECIALIST, LLC
Practice address
3621 Ensign Rd NE Ste B
Olympia, WA 98506-5024
Phone
(360) 923-5840
Fax
(360) 459-4836
NPI assigned
Oct 13, 2006
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Daniel C Mendiola, OTR/L, CHT
Title
Owner
Phone
(360) 923-5840

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X OT00000867 WA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X OT00003444 WA

Addresses

Primary practice location

3621 Ensign Rd NE Ste B
Olympia, WA 98506-5024

Mailing address

3621 Ensign Rd NE Ste B
Olympia, WA 98506-5024
Phone (360) 923-5840

Other identifiers 2

IdentifierTypeStateIssuer
7681877MedicaidWA
0137869OtherWAL&I GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

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

3621 Ensign Rd NE
#B
Olympia, WA 98506
Phone (360) 923-5840

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1659461341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 ENSIGN RD NE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065024",
            "telephone_number": "360-923-5840",
            "fax_number": "360-459-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ENSIGN RD NE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065024",
            "telephone_number": "360-923-5840",
            "fax_number": "360-459-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAND THERAPY SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-12-08",
        "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_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "OT00000867",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "OT00003444",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7681877",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I GROUP NUMBER",
            "identifier": "0137869",
            "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 8, 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.