Provider Demographics
NPI:1790094167
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, CHT
Authorized Official - Phone:888-924-2631
Mailing Address - Street 1:PO BOX 2451
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-2451
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12910 TOTEM LAKE BLVD NE
Practice Address - Street 2:SUITE 130
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-2954
Practice Address - Country:US
Practice Address - Phone:888-924-2631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WASHINGTON THERAPY GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-01
Last Update Date:2016-02-09
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
WA5171990003Medicare NSC
WAAB36270Medicare UPIN