Jesse Ryan Pooler, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0008913 Issued in WA

Practice address

621 S Pine St
Tacoma, WA 98405-2761

Phone

(253) 835-8091

NPI assigned

May 10, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic PT Health and Performance LLCGroup PAC ID 4880824994, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epic PT Health & Performance LLC

  • Physical Therapist
  • Tacoma, WA
  • NPI 1407282734
  Medicare reassignment Care Compare group NPD (past)
• Abc Physical Therapy

  • Physical Therapy Clinic/Center
  • Tacoma, WA
  • NPI 1154377240

  Physical Therapist

  Medicare reassignment NPD
• Apple Physical Therapy, LLC

  • Physical Therapist
  • Auburn, WA
  • NPI 1902808470
  Medicare reassignment NPD
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833

  Physical Therapist

  Medicare reassignment NPD
• Abc Physical Therapy

  • Physical Therapy Clinic/Center
  • Gig Harbor, WA
  • NPI 1275080301
  NPD
• Apple Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Mountlake Terrace, WA
  • NPI 1366746232

  Physical Therapist

  NPD
• Apple Physical Therapy LLC

  • Physical Therapist
  • Yelm, WA
  • NPI 1922283050
  NPD
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Physical Therapist

  NPD
• Therapydia of Washington PC

  • Physical Therapist
  • Vancouver, WA
  • NPI 1902643992
  NPD
• Mount Rainier Neurology Clinic and Diagnostic Center PS

  • Neurology Physician
  • Tacoma, WA
  • NPI 1467505172
  NPD (past)
• Quenga, Hanson and Purdue, P.S., Inc.

  • Physical Therapist
  • University Place, WA
  • NPI 1871082974
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003020520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S PINE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S PINE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052761",
            "telephone_number": "253-835-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLER",
        "first_name": "JESSE",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT0008913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Pool, PSY.D.
• Lorraine Phillips Poole
• Susan Janette Poole, PH.D.
• Teresa Michelle Poole, ARNP
• Zion Heart Poole
• Kampol Poophawatanakik, LAC
• Stephen E Poore, MD
• Ramona V Popa, MD
• Deborah L Pope, MSN, RN
• Sheamerious Pope

• Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.