Provider Demographics
NPI:1255639878
Name:WASHINGTON THERAPY GROUP, INC.
Entity type:Organization
Organization Name:WASHINGTON THERAPY GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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: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 1:1900 116TH AVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3052
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:2011-03-07
Last Update Date:2011-03-07
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