NPIMap

Organization Active NPI

Multicare Health System

Doing business as Olympic Sports & Spine

  • Physical Therapist
  • Auburn, WA
National Provider Identifier
1033622311
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MULTICARE HEALTH SYSTEM
Doing business as
Olympic Sports & Spine
Practice address
202 Cross St SE
Auburn, WA 98002-5406
Phone
(253) 876-8190
Fax
(253) 876-8186
NPI assigned
Nov 9, 2017
Last updated
Nov 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Anna Loomis
Title
Sr VP-Chief Financial Officer
Phone
(253) 403-8020

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Physical Therapist 225100000X Primary
Massage Therapist 225700000X
Occupational Therapist 225X00000X

Addresses

Primary practice location

202 Cross St SE
Auburn, WA 98002-5406

Mailing address

315 Martin Luther King Jr Way
Tacoma, WA 98405-4234

Other names 1

  • Olympic Sports & Spine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031105000760 WA Part B Supplier - Clinic/Group Practice 7719899897 Receives reassigned benefits from 4,909 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

407 E Main St
Auburn, WA 98002
Phone (253) 545-0044

19312 Mountain Hwy E
Ste 100
Spanaway, WA 98387

19321 Mountain Hwy E
#100
Spanaway, WA 98387
Phone (253) 846-8618

20220 Mountain Hwy E
Ste 600
Spanaway, WA 98387
Phone (253) 846-8918

17515 Canyon Pkwy E
Tacoma, WA 98446
Phone (253) 330-8661

2302 S Union Ave
Ste B10
Tacoma, WA 98405
Phone (253) 503-1560

2302 S Union Ave
Ste B16
Tacoma, WA 98405
Phone (253) 759-3718

2405 N Pearl St
Ste 18
Tacoma, WA 98406
Phone (253) 503-1560

Practitioners & affiliated clinicians

Practitioners 139

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 139

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1033622311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CROSS ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025406",
            "telephone_number": "253-876-8190",
            "fax_number": "253-876-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "LOOMIS",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "SR VP-CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "253-403-8020"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Sports & Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.