Active NPI
Andrew Blank, PT
- Physical Therapist
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 63825
- Practice address
- 1651 Cooper Point Rd SW
Olympia, WA 98502-5735 - Phone
- (360) 956-1100
- NPI assigned
- Sep 2, 2020
- Last updated
- Mar 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61627242 | WA | |
| Physical Therapist | 225100000X | 63825 | OR | Primary |
Addresses
Primary practice location
1651 Cooper Point Rd SW
Olympia, WA 98502-5735
Mailing address
1651 Cooper Point Rd SW
Olympia, WA 98502-5735
Phone (360) 956-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8040 E Mill Plain Blvd
Vancouver, WA 98664-2002
Phone (360) 882-2778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63825 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Coastal Rehab/Dba Newport Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Claire Barton Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| The Vancouver Clinic Inc PS | Current | Accepting new patients |
Locations
1010 SW Coast Hwy
Ste 102
Newport, OR 97365
Phone (541) 265-4252
5220 NE Shell World Pl
Ste A
Newport, OR 97365
Phone (541) 265-4666
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
1651 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 956-1100
201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
8040 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 822-2778
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Vancouver Clinic
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Physical Therapist
-
- Physical Therapist
- Newport, OR
- NPI 1629248596
-
dba Newport Physical Therapy
- Physical Therapist
- Newport, OR
- NPI 1073876041
-
dba IRG Physical & Hand Therapy - Marysville
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
dba Salmon Creek 2 Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1306556907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1073127536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 COOPER POINT RD SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025735",
"telephone_number": "360-956-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 COOPER POINT RD SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025735",
"telephone_number": "360-956-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANK",
"first_name": "ANDREW",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-02",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61627242",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.