Individual provider Active NPI

Tam Quach, DO

  • Physical Medicine & Rehabilitation Physician
  • Seattle, WA
National Provider Identifier
1154713071
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OP61126242 Issued in WA
Practice address
2821 S Walden St
Seattle, WA 98144-6830
Phone
(206) 577-6200
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OP61126242 WA Primary

Addresses

Primary practice location

2821 S Walden St
Seattle, WA 98144-6830

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other practice location 1

2102 S 96th St
Tacoma, WA 98444-1753
Phone (253) 581-2514

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tquach1789451@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818003530 WA Practitioner - Physical Medicine and Rehabilitation 4385989334 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

1305 Alexander St
Centralia, WA 98531-1305
Phone (360) 736-2823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OP61126242WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Junction Physical Medicine Physical Medicine & Rehabilitation Current Accepting new patients
Pacmed Clinics CurrentSince Sep 13, 2021 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Jun 13, 2025 Accepting new patients
Integrated Rehab Consultants LLC Physical Medicine & Rehabilitation CurrentSince Jun 13, 2025 Accepting new patients
Pacmed Clinics Current Accepting new patients
Pacmed Clinics CurrentSince Sep 13, 2021 Accepting new patients

Locations

2830 I St NE
Auburn, WA 98002
Phone (253) 561-8100

1305 Alexander St
Centralia, WA 98531
Phone (360) 736-2823

805 Front St S
Issaquah, WA 98027
Phone (206) 390-8645

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

2102 S 96th St
Tacoma, WA 98444
Phone (253) 581-2514

2811 NE 139th St
Vancouver, WA 98686
Phone (360) 574-5247

Interoperability endpoints

  • Direct secure messaging: tquach1789451@wm.providencedirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1154713071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 S WALDEN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446830",
            "telephone_number": "206-577-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2102 S 96th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984441753",
            "country_code": "US",
            "telephone_number": "253-581-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUACH",
        "first_name": "TAM",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "OP61126242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tquach1789451@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 S Carr Rd Ste 100",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980555802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.