SOUTH SOUND PHYSICAL & HAND THERAPY PLLC (NPI# 1417491911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417491911 |
| Entity Type | Organization |
| Organization Name | SOUTH SOUND PHYSICAL & HAND THERAPY PLLC |
| Other Organization Name | SOUTH SOUND PHYSICAL & HAND THERAPY, PLLC |
| Practice Address |
848 N Sunrise Blvd Suite F104 Camano Island WA 98282-8770 |
| Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
| Practice Telephone | 3603867051 |
| Practice Fax Number | 3603863588 |
| Mailing Telephone | 4253579380 |
| Mailing Fax Number | 4253168046 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2020-02-19 |
| Authorized Official Name | MICHAEL S OKELLEY (OWNER) |
| Authorized Official Telephone | 4253579380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| IRG Physical & Hand Therapy Camano Island | Doing Business As Name - Organization |
| South Sound Physical & Hand Therapy, PLLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275727265 | South Sound Physical & Hand Therapy Pllc | Occupational Therapist | 360 Lilly Rd Ne, Suite A, Olympia, WA 98506 | 2007-09-01 |
| 1548217631 | South Sound Physical & Hand Therapy Pllc | Occupational Therapist | 111 Market St Ne, Suite 108, Olympia, WA 98501-1008 | 2006-05-27 |
| Street Address |
848 N SUNRISE BLVD SUITE F104 |
| City | CAMANO ISLAND |
| State | WA |
| Zip Code | 98282-8770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487125654 | Susan Land | Massage Therapist | 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 | 2018-12-16 |
| 1669982500 | Shelby Seay | Massage Therapist | 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 | 2017-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073012449 | Brenda Grinde | Massage Therapist | 122 W Mountain Rd, Camano Island, WA 98282 | 2018-02-12 |
| 1083122873 | Kathleen Jensen Bouranova | Registered Nurse | 1320 Sw Camano Dr, Camano Island, WA 98282 | 2018-01-16 |
| 1770968117 | Lisanne Olsen | Massage Therapist | 1143 Sr 532, Camano Island, WA 98282 | 2015-07-28 |
| 1063690501 | Anna Christine Mitchell | Specialist | 927 N.w. Camano Drive, Camano Island, WA 98282 | 2008-02-06 |
| 1558420489 | Martin Anthony Zimmerman | Dentist | 810 N Rekdal Road, Camano Island, WA 98282 | 2006-12-06 |
| 1225112360 | Mark Dudley Phibbs | Pharmacist | 370 N. East Camano Dr., Camano Island, WA 98282 | 2006-10-25 |
| 1437264322 | Matthew Robert Crouthamel | Surgery | 18 Anadar Pl, Camano Island, WA 98282 | 2006-08-20 |
| 1144388075 | Randall A Thompson Dds Ps | Dentist | 810 Rekdal Rd, Carmano Island, WA 98282 | 2006-12-04 |
| 1508932427 | Public Hospital Dist No 1 Skagit | Clinic/Center | 127 N. East Camano Drive, Suite A, Camano Island, WA 98282 | 2006-11-24 |
| 1497985956 | Stephanie Lynn Carlson | Massage Therapist | 1897 Elhardt St, Camano Island, WA 98282-6320 | 2009-07-19 |
| Find all providers in zip 98282 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760937973 | Lisa Anderson | Occupational Therapist | 341 Mackenzie Dr, Camano Island, WA 98282-8743 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345401 | Nancy Johnson Speech & Language Ps | Occupational Therapist | 9802 48th Dr Ne, Marysville, WA 98270-8100 | 2020-10-28 |
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1104425966 | Kristy Claire Braunston | Occupational Therapist | 19640 Se 272nd St, Covington, WA 98042-8553 | 2020-10-22 |
| 1679172423 | Jasmine Anastasia Pielemeier | Occupational Therapist | 1724 13th Ave S Apt B, Seattle, WA 98144-4173 | 2020-10-22 |
| 1811594252 | Leaps and Bounds Pediatric Therapy | Occupational Therapist | 3231 Willamette Dr Ne Ste A, Lacey, WA 98516-1378 | 2020-10-08 |
| 1972100840 | Lindsay Anne Reich | Occupational Therapist | 5962 Nw 38th Ave Unit 531, Camas, WA 98607-5408 | 2020-10-05 |
| 1144837477 | Feby Bianca Caoile | Occupational Therapist | 430 210th St Se, Bothell, WA 98021-7648 | 2020-09-30 |
| 1093321069 | Hannah Joy Terranova | Occupational Therapist | 9951 Mickelberry Rd Nw Ste 123, Silverdale, WA 98383-8309 | 2020-09-16 |
| 1114533148 | Jennifer Marie Wong | Occupational Therapist | 6819 Vista Ave S, Seattle, WA 98108-3651 | 2020-09-15 |
| 1982219416 | Ascend Therapy Services Pllc | Occupational Therapist | 20045 Se 267th Pl, Covington, WA 98042-6151 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | CAMANO ISLAND |
| Zip Code | 98282 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.