Edmonds Hand Therapy – Hand Occupational Therapist, NPI 1972537926

Edmonds Hand Therapy is a healthcare provider. based in Mill creek, Washington. specializing in Hand Occupational Therapist. The organization holds a License No. OT00003076 (WA). The NPI Number for Edmonds Hand Therapy is 1972537926

Main info

Organization
Name
Edmonds Hand Therapy
NPI
1972537926
Phone
(425) 316-8046
Address
4220 132ND ST SE
Authorized Official
MICHAEL SHANNON O'KELLEY PRESIDENT/OWNER MPT
Enumeration Date
10 July 2006
Last Update Date
28 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Edmonds Hand Therapy

  • 4220, 132nd Street Southeast, Mill Creek, Snohomish County, Washington, 98012, United States

    SUITE101

    MILL CREEK, WA 980128999

    Phone: (425) 316-8046

    Fax: (425) 338-9637

    Type: Mailing

  • 7907, 212th Street Southwest, Edmonds, Snohomish County, Washington, 98026, United States

    SUITE 219

    EDMONDS, WA 980267541

    Phone: (425) 673-2673

    Fax: (425) 673-2863

    Type: Location

  • 7315 212TH ST SW STE 104

    EDMONDS, WA 980267610

    Phone: (425) 774-3226

    Fax: (425) 670-1406

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (584 days ago).

Enrollment records

1

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930036418OIndependently-Practicing Occupational TherapistWA2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98012)

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Reviews

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Frequently asked questions

Where can patients find Edmonds Hand Therapy's NPI?
You can confirm Edmonds Hand Therapy with NPI 1972537926; it appears in the national provider directory.
Does this profile mean Edmonds Hand Therapy is currently active?
Yes — Edmonds Hand Therapy appears active in the national provider directory.
What kind of provider is Edmonds Hand Therapy?
The page reflects Hand Occupational Therapist for Edmonds Hand Therapy. Clinical services aligned with this taxonomy classification.
What location metadata exists for Edmonds Hand Therapy?
The page summarizes Mill Creek, Washington for Edmonds Hand Therapy; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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