Active NPI
Nathan Anthony Jones, PT, DPT
- Physical Therapist
- Olympia, WA
National Provider Identifier
1154871051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 296764
- Practice address
- 165 Lilly Rd NE Ste B
Olympia, WA 98506-5086 - Phone
- (360) 455-8014
- Fax
- (360) 455-8719
- NPI assigned
- Oct 4, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61219480 | WA | |
| Physical Therapist | 225100000X | 296764 | CA | Primary |
| Physical Therapist | 225100000X | 1278848 | TX |
Addresses
Primary practice location
165 Lilly Rd NE Ste B
Olympia, WA 98506-5086
Mailing address
165 Lilly Rd NE Ste B
Olympia, WA 98506-5086
Phone (360) 455-8014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WA
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296764 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Select CS Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
2727 Hollycroft St
Ste 310
Gig Harbor, WA 98335
Phone (253) 514-6757
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Rural Acute Care Hospital
- Ganado, AZ
- NPI 1477735777
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Pediatrics Physician
- Federal Way, WA
- NPI 1407409741
-
- Critical Access Hospital Clinic/Center
- Ganado, AZ
- NPI 1518957398
-
- Physical Therapy Clinic/Center
- Ridgecrest, CA
- NPI 1386228302
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1154871051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 LILLY RD NE STE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065086",
"telephone_number": "360-455-8014",
"fax_number": "360-455-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 LILLY RD NE STE B",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065086",
"telephone_number": "360-455-8014",
"fax_number": "360-455-8719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "NATHAN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-04",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61219480",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "296764",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1278848",
"primary": false
}
],
"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 Aug 9, 2023; 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.