NPIMap

Organization Active NPI

Olympia Physical Therapy & Industrial Rehabilitation, Inc.

  • Physical Therapist
  • Tumwater, WA
National Provider Identifier
1174562953
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OLYMPIA PHYSICAL THERAPY & INDUSTRIAL REHABILITATION, INC.
Practice address
2755 Mottman Rd SW
Tumwater, WA 98512-5684
Phone
(360) 352-5077
Fax
(360) 352-5022
NPI assigned
Jun 6, 2006
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Steven Anthony Robbins, MPTNPI 1316946148
Title
MPT / Owner
Phone
(360) 352-5077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2755 Mottman Rd SW
Tumwater, WA 98512-5684

Mailing address

2755 Mottman Rd SW
Tumwater, WA 98512-5684
Phone (360) 352-5077

Other identifiers 4

IdentifierTypeStateIssuer
CK7840OtherWARAILROAD MEDICARE
7115074MedicaidWA
0167743OtherWASTATE LABOR & INDUSTRIES
017966-0001OtherWAPACIFICARE

Other names 1

  • Olympia Physical Therapy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001684 WA Part B Supplier - Clinic/Group Practice 8921090507 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Tumwater, WA; Lacey, WA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Olympia Physical Therapy I2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8750 Tallon Ln NE
Ste C
Lacey, WA 98516
Phone (360) 456-1072

2755 Mottman Rd SW
Tumwater, WA 98512
Phone (360) 330-9436

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1174562953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 MOTTMAN RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985125684",
            "telephone_number": "360-352-5077",
            "fax_number": "360-352-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 MOTTMAN RD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985125684",
            "telephone_number": "360-352-5077",
            "fax_number": "360-352-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA PHYSICAL THERAPY & INDUSTRIAL REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "MPT / OWNER",
        "authorized_official_telephone_number": "360-352-5077",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK7840",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115074",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LABOR & INDUSTRIES",
            "identifier": "0167743",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "017966-0001",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympia Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.