Individual provider Active NPI

Andrew Blank, PT

  • Physical Therapist
  • Olympia, WA
National Provider Identifier
1073127536
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63825 Issued in OR
Practice address
1651 Cooper Point Rd SW
Olympia, WA 98502-5735
Phone
(360) 956-1100
NPI assigned
Sep 2, 2020
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201109001838 OR Practitioner - Physical Therapist in Private Practice 2769892454 Reassigns benefits to 2 organizations
I20241224000545 WA Practitioner - Physical Therapist in Private Practice 2769892454 Reassigns benefits to 2 organizations

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
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

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

LicenseStateTypeSpecialty
63825ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Coastal Rehab/Dba Newport Physical Therapy Physical Therapist CurrentSince Sep 8, 2020 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Jan 2, 2025 Accepting new patients
Claire Barton Physical Therapy Inc Physical Therapist CurrentSince Apr 13, 2023 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Jan 2, 2025 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.

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.

Verify at the official NPI Registry.