Provider Demographics
NPI:1902260011
Name:HAND THERAPY ADVANTAGE LLC
Entity Type:Organization
Organization Name:HAND THERAPY ADVANTAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:OT/L, CHT
Authorized Official - Phone:509-487-1232
Mailing Address - Street 1:5322 N DIVISION ST
Mailing Address - Street 2:102
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1300
Mailing Address - Country:US
Mailing Address - Phone:509-795-0271
Mailing Address - Fax:509-489-4389
Practice Address - Street 1:5322 N DIVISION ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1300
Practice Address - Country:US
Practice Address - Phone:509-487-1232
Practice Address - Fax:509-489-4389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001469174400000X, 225X00000X, 225XH1200X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2041389Medicaid
WA1952675761Medicare Oscar/Certification