South Sound Physical & Hand Therapy Pllc | |
111 Market St Ne, Suite 108, Olympia, WA 98501-1008 | |
(360) 754-7085 | |
(360) 754-3671 |
Full Name | South Sound Physical & Hand Therapy Pllc |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 111 Market St Ne, Olympia, Washington |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548217631 | NPI | - | NPPES |
0164914 | Other | WA | DEPT. OF LABOR & INDUSTRY |
0164914 | Other | WA | L&I CRIME VICTIMS |
DA0695 | Other | WA | RAILROAD MEDICARE |
3583413-00 | Other | WA | OWCP |
7108MA | Other | WA | REGENCE BLUESHIELD GRP # |
9054982 | Medicaid | WA | |
7683600 | Medicaid | WA | |
7112980 | Medicaid | WA |
Provider Name | Loren L Johnson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1518068774 PECOS PAC ID: 7517852536 Enrollment ID: I20040220000184 |
Provider Name | Jacqueline K Muir |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336574193 PECOS PAC ID: 0446249189 Enrollment ID: I20040508000295 |
Provider Name | Tracy E Springman |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114965001 PECOS PAC ID: 6204727076 Enrollment ID: I20040602000147 |
Provider Name | Suzanne L Dervin |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245272632 PECOS PAC ID: 1850369042 Enrollment ID: I20040924000595 |
Provider Name | Christa I Huddleston |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912962820 PECOS PAC ID: 3971521014 Enrollment ID: I20051107000718 |
Provider Name | Renee M Frost |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528021995 PECOS PAC ID: 0749297083 Enrollment ID: I20060313000188 |
Provider Name | Sharon E Patterson |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235200650 PECOS PAC ID: 9830108307 Enrollment ID: I20060411000461 |
Provider Name | Mukti V Godbole |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306942156 PECOS PAC ID: 1052318862 Enrollment ID: I20061108000309 |
Provider Name | Lisa M Adams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831295591 PECOS PAC ID: 2668470246 Enrollment ID: I20061114000426 |
Provider Name | Debbie A Phibbs |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942395744 PECOS PAC ID: 6406854892 Enrollment ID: I20061120000071 |
Provider Name | Benedict J Cooley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992993406 PECOS PAC ID: 0244327393 Enrollment ID: I20080115000834 |
Provider Name | Scott W Miller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316062961 PECOS PAC ID: 2567516792 Enrollment ID: I20090821000396 |
Provider Name | Kristen M Weaver |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386895894 PECOS PAC ID: 2365591252 Enrollment ID: I20090826000446 |
Provider Name | Cody T Kenison |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215131529 PECOS PAC ID: 2163513805 Enrollment ID: I20090924000349 |
Provider Name | Benjamin M Boyle |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861552747 PECOS PAC ID: 1557407608 Enrollment ID: I20091005000256 |
Provider Name | Neil E Plume |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265691752 PECOS PAC ID: 8123181815 Enrollment ID: I20100726000835 |
Provider Name | Lori Ann Dunley |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487749735 PECOS PAC ID: 1850416462 Enrollment ID: I20100918000271 |
Provider Name | Jeremy G Cornwell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770897274 PECOS PAC ID: 9830215334 Enrollment ID: I20100921001397 |
Provider Name | Brandon Bruce Bennett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447570809 PECOS PAC ID: 2860681228 Enrollment ID: I20110117000061 |
Provider Name | Mitchell G Blakney |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104852227 PECOS PAC ID: 4981596699 Enrollment ID: I20120509000008 |
Provider Name | Brad S Defenbaugh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134369671 PECOS PAC ID: 0840347548 Enrollment ID: I20120517000320 |
Provider Name | Amber N Walker |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144462375 PECOS PAC ID: 6709057052 Enrollment ID: I20121128000287 |
Provider Name | Sujaya Deodhar |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720339088 PECOS PAC ID: 0749433753 Enrollment ID: I20121226000178 |
Provider Name | Andrea K Wood |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1477784130 PECOS PAC ID: 7517110331 Enrollment ID: I20130103000338 |
Provider Name | Jeremy C Domina |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720255201 PECOS PAC ID: 0648418509 Enrollment ID: I20130604000831 |
Provider Name | Jennifer C Dalziel |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316372394 PECOS PAC ID: 7810976107 Enrollment ID: I20131230000371 |
Provider Name | Nicole M Riddle |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215341789 PECOS PAC ID: 4183848765 Enrollment ID: I20140623001037 |
Provider Name | Michael B Hearron |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003236274 PECOS PAC ID: 1052537172 Enrollment ID: I20140725002362 |
Provider Name | Zachary R Hall |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649523903 PECOS PAC ID: 3678709698 Enrollment ID: I20141027002598 |
Provider Name | Lisa M Bowling |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992904825 PECOS PAC ID: 8527280619 Enrollment ID: I20141104002703 |
Provider Name | Danielle L Beels |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720478845 PECOS PAC ID: 3375860299 Enrollment ID: I20150402000081 |
Provider Name | Young Jee S Filer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225085046 PECOS PAC ID: 2365440385 Enrollment ID: I20150602001941 |
Provider Name | Aon B Barrett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1487742466 PECOS PAC ID: 1850379868 Enrollment ID: I20150611003029 |
Provider Name | Kathryn M Williams |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194813923 PECOS PAC ID: 4688985518 Enrollment ID: I20150619000001 |
Provider Name | Brenda Laine Bartholow |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881080158 PECOS PAC ID: 8325359797 Enrollment ID: I20150625002446 |
Provider Name | Evan R Palmer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356712632 PECOS PAC ID: 5890004196 Enrollment ID: I20151028001154 |
Provider Name | Mary L Friedman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982079208 PECOS PAC ID: 8123320959 Enrollment ID: I20160111000972 |
Provider Name | Alain Zurmuhlen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801252119 PECOS PAC ID: 9931404514 Enrollment ID: I20160218001908 |
Provider Name | Jonette Ford |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184991333 PECOS PAC ID: 2860791308 Enrollment ID: I20160504001461 |
Provider Name | Jennifer L Hoeniges |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780044040 PECOS PAC ID: 8224327937 Enrollment ID: I20160519001736 |
Provider Name | Robert J Salasky |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710430012 PECOS PAC ID: 8022306109 Enrollment ID: I20161005000189 |
Provider Name | Dolores Lynn Barton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679731558 PECOS PAC ID: 3274778436 Enrollment ID: I20161020000986 |
Provider Name | Sean R O'kelley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710429840 PECOS PAC ID: 3476833963 Enrollment ID: I20161129000277 |
Provider Name | Holli M Mcclendon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346782042 PECOS PAC ID: 5193005114 Enrollment ID: I20161209000565 |
Provider Name | Gregory T Szydlowski |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891954079 PECOS PAC ID: 3870874944 Enrollment ID: I20170103001789 |
Provider Name | Maria Cirille A Pinon |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245512136 PECOS PAC ID: 7416118914 Enrollment ID: I20170203000787 |
Provider Name | Stephanie M Sparks |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851849061 PECOS PAC ID: 9335422450 Enrollment ID: I20170214002826 |
Provider Name | Erin Kovarik |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841622370 PECOS PAC ID: 6103060496 Enrollment ID: I20170315001705 |
Provider Name | Melissa Regan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194257246 PECOS PAC ID: 7911284898 Enrollment ID: I20170502000546 |
Provider Name | Chris K Lee |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275061053 PECOS PAC ID: 0244508075 Enrollment ID: I20170619002395 |
Provider Name | Evan Lewis |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1184145419 PECOS PAC ID: 6406125137 Enrollment ID: I20170711003599 |
Provider Name | Julia B Icenogle |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437571890 PECOS PAC ID: 5496976938 Enrollment ID: I20170720000968 |
Provider Name | Samantha N Bennett |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023533478 PECOS PAC ID: 7416221775 Enrollment ID: I20170926000208 |
Provider Name | Eli Wolff |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225554751 PECOS PAC ID: 2567737687 Enrollment ID: I20170928003831 |
Provider Name | Sean M Trait |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992229017 PECOS PAC ID: 5294008017 Enrollment ID: I20171102001456 |
Provider Name | Heather M Wharton |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598284507 PECOS PAC ID: 5092071464 Enrollment ID: I20171117002570 |
Provider Name | Jenny Chang |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891209326 PECOS PAC ID: 8325306202 Enrollment ID: I20171226000380 |
Provider Name | Trevor L Souik |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1336652932 PECOS PAC ID: 1052679792 Enrollment ID: I20171229000972 |
Provider Name | Samuel S Olmstead |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558874883 PECOS PAC ID: 9133487770 Enrollment ID: I20180103001070 |
Provider Name | Caitlin Ludington |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891203386 PECOS PAC ID: 8527328897 Enrollment ID: I20180206000052 |
Provider Name | Allison L Huyser |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1063930352 PECOS PAC ID: 7517228760 Enrollment ID: I20180302001392 |
Provider Name | Eric Bernard Marie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679002521 PECOS PAC ID: 9537438437 Enrollment ID: I20180509000779 |
Provider Name | Maryam Khaniyan |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1740772730 PECOS PAC ID: 8729335302 Enrollment ID: I20180728000074 |
Provider Name | Lauren L Reinhard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376036004 PECOS PAC ID: 7315298072 Enrollment ID: I20180919004319 |
Provider Name | Yi Xie |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043642309 PECOS PAC ID: 6406109131 Enrollment ID: I20181026001756 |
Provider Name | Paula R Rego |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235339409 PECOS PAC ID: 5193805596 Enrollment ID: I20181106002727 |
Provider Name | Sarah M Clue |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770061285 PECOS PAC ID: 3476807645 Enrollment ID: I20181107002026 |
Provider Name | Shannon Marie Taylor |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508359183 PECOS PAC ID: 7618221797 Enrollment ID: I20181107002674 |
Provider Name | Ann E Fox |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861616427 PECOS PAC ID: 5092059782 Enrollment ID: I20181206002587 |
Provider Name | Katherine L Huyser |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770063596 PECOS PAC ID: 9335483973 Enrollment ID: I20181207001433 |
Provider Name | Kevin Do |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861977910 PECOS PAC ID: 9032454442 Enrollment ID: I20181212003302 |
Provider Name | Rick D Heiser |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689900664 PECOS PAC ID: 9436410990 Enrollment ID: I20190108001901 |
Provider Name | Michelle C Wendt |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013486737 PECOS PAC ID: 2365789690 Enrollment ID: I20190124002794 |
Provider Name | Maximilian A Reinke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861862344 PECOS PAC ID: 9830409358 Enrollment ID: I20190124003074 |
Provider Name | Vicki L Luebbe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1194754291 PECOS PAC ID: 7113260092 Enrollment ID: I20190516000556 |
Provider Name | Kirsten S Ross |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326605718 PECOS PAC ID: 6305179029 Enrollment ID: I20190612002636 |
Provider Name | Katherine R Shaw |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558918664 PECOS PAC ID: 2264762533 Enrollment ID: I20190930001791 |
Provider Name | Kaitlin Michelle Silva |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891340014 PECOS PAC ID: 0840520052 Enrollment ID: I20191001000591 |
Provider Name | Whitney J Eand |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1881238137 PECOS PAC ID: 0345674834 Enrollment ID: I20191231001678 |
Provider Name | Martin A Roskoff |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1245874643 PECOS PAC ID: 5092149856 Enrollment ID: I20200102002273 |
Mailing Address | Practice Location Address |
---|---|
South Sound Physical & Hand Therapy Pllc 4220 132nd St Se, Suite 101, Mill Creek, WA 98012-8999 Ph: (425) 357-9380 | South Sound Physical & Hand Therapy Pllc 111 Market St Ne, Suite 108, Olympia, WA 98501-1008 Ph: (360) 754-7085 |