Provider Demographics
NPI:1578508909
Name:WASHINGTON THERAPY GROUP, INC
Entity Type:Organization
Organization Name:WASHINGTON THERAPY GROUP, INC
Other - Org Name:WASHINGTON HAND THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROZANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:SENANAYAKE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L, CHT
Authorized Official - Phone:888-924-2631
Mailing Address - Street 1:12910 TOTEM LAKE BLVD NE STE 130
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2955
Mailing Address - Country:US
Mailing Address - Phone:888-924-2631
Mailing Address - Fax:888-924-2630
Practice Address - Street 1:17924 140TH AVE NE
Practice Address - Street 2:STE 200
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-4315
Practice Address - Country:US
Practice Address - Phone:888-924-2631
Practice Address - Fax:888-924-2630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00002250225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB36270Medicare UPIN
WA5171990001Medicare NSC