Active NPI
Zachary J Schade
- Physical Therapist
- Olympia, WA
National Provider Identifier
1164571469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00005655
- Practice address
- 111 Market St NE
Suite 108
Olympia, WA 98501-1008 - Phone
- (360) 754-7085
- Fax
- (360) 754-3671
- NPI assigned
- Jan 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00005655 | WA | Primary |
Addresses
Primary practice location
111 Market St NE
Suite 108
Olympia, WA 98501-1008
Mailing address
5210 Corporate Center Loop SE
Suite D
Lacey, WA 98503-5952
Phone (360) 455-8155
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710883456-98516-A004 | Other | WA | TRICARE |
| 8834SC | Other | WA | REGENCE BS |
| 3536SC | Other | WA | REGENCE BS |
| 4613525 | Other | WA | AETNA |
| 710883456-98502-A006 | Other | WA | TRICARE |
| 710883456-98503-A008 | Other | WA | TRICARE |
| 710883456-98501-A009 | Other | WA | TRICARE |
| 5193SC | Other | WA | REGENCE BS |
| 7456SC | Other | WA | REGENCE BS |
| 8340762 | Medicaid | WA | |
| 8943978 | Other | WA | L&I CRIME VICTIMS |
| 3336SC | Other | WA | REGENCE BS |
| 710883456-98512-A007 | Other | WA | TRICARE |
| 0218904 | Other | WA | DEPT OF L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Orthopaedic Associates PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Olympia, WA
- NPI 1083785398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1164571469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 CORPORATE CENTER LOOP SE",
"address_2": "SUITE D",
"city": "LACEY",
"state": "WA",
"postal_code": "985035952",
"telephone_number": "360-455-8155",
"fax_number": "360-455-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARKET ST NE",
"address_2": "SUITE 108",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011008",
"telephone_number": "360-754-7085",
"fax_number": "360-754-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHADE",
"first_name": "ZACHARY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00005655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98516-A004",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "8834SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "3536SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4613525",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98502-A006",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98503-A008",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98501-A009",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "5193SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "7456SC",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8340762",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8943978",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "3336SC",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98512-A007",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "0218904",
"state": "WA"
}
],
"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 Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.