Organization Active NPI

Dynamic Arm and Hand Therapy PLLC

  • Occupational Therapist
  • Vancouver, WA
National Provider Identifier
1780551804
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
DYNAMIC ARM AND HAND THERAPY PLLC
Practice address
3205 NE 78TH St Ste 102
Vancouver, WA 98665-0697
Phone
(509) 680-0468
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Andrew D Peaker, OT, CHTNPI 1649693904
Title
Owner
Phone
(360) 329-7760

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3205 NE 78TH St Ste 102
Vancouver, WA 98665-0697

Mailing address

3205 NE 78TH St Ste 102
Vancouver, WA 98665-0697
Phone (509) 680-0468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260529000287 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547730756 Receives reassigned benefits from 1 practitioner
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

3205 NE 78th St
Ste 102
Vancouver, WA 98665

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": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1780551804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 NE 78TH ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650697",
            "telephone_number": "509-680-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 NE 78TH ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650697",
            "telephone_number": "509-680-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC ARM AND HAND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "PEAKER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-329-7760",
        "authorized_official_credential": "OT, CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.