Tahoma Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TAHOMA PHYSICAL THERAPY PLLC

Practice address

1802 Black Lake Blvd SW Unit 104
Olympia, WA 98512-5665

Phone

(530) 386-2452

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Leslie Blake Novoa, PT, DPT, OCS, CMPTNPI 1245595685

Title

Owner/Physical Therapist

Phone

(530) 386-2452

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Blake Novoa, PT, DPT

  • Orthopedic Physical Therapist
  • Tumwater, WA
  • NPI 1245595685
  NPD Authorized official

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1093528879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BLACK LAKE BLVD SW UNIT 104",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125665",
            "telephone_number": "530-386-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BLACK LAKE BLVD SW UNIT 104",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125665",
            "telephone_number": "530-386-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOMA PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "NOVOA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "530-386-2452",
        "authorized_official_credential": "PT, DPT, OCS, CMPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasrin A Tabatabaie
• Marissa Amurao Tabile, PHARMD
• Megan Tady
• Sharon Lynn Taggart, MSN WHNP-BC, ARNP
• Tahoma Anesthesiology Consultants PS
• Natalie Tajipour-Glass, PA C
• Lindsey Takara, PHARM.D.
• Attila Frank Talaber, DMD
• Caitlin Talanoa
• Rachael Talaski, PHAMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.