Provider Demographics
NPI:1659662401
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:
Authorized Official - First Name:ROZANNI
Authorized Official - Middle Name:
Authorized Official - Last Name:SENANAYAKE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L, CEAS, CHT
Authorized Official - Phone:888-924-2631
Mailing Address - Street 1:12910 TOTEM LAKE BLVD NE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-2954
Mailing Address - Country:US
Mailing Address - Phone:888-924-2631
Mailing Address - Fax:
Practice Address - Street 1:11711 NE 12TH ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2461
Practice Address - Country:US
Practice Address - Phone:888-924-2631
Practice Address - Fax:888-924-2631
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WASHINGTON THERAPY GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-28
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB36270Medicare UPIN
WA5171990001Medicare NSC
WA5171990002Medicare NSC