Active NPI
Ross Obertean
- Physical Therapist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61039713
- Practice address
- 1407 E 72ND St Ste 100
Tacoma, WA 98404-5923 - Phone
- (253) 474-7474
- NPI assigned
- Feb 13, 2020
- 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 | PT61039713 | WA | Primary |
Addresses
Primary practice location
1407 E 72ND St Ste 100
Tacoma, WA 98404-5923
Mailing address
1407 E 72ND St Ste 100
Tacoma, WA 98404-5923
Phone (253) 474-7474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200402003545 | WA | Practitioner - Physical Therapist in Private Practice | 3375971690 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehab Expert and Consulting LLCPhysioworks Silverdale PLLC
Practice addresses (Care Compare)
319 Washington Ave S
Kent, WA 98032-5767
Phone (253) 650-9780
9399 Ridgetop Blvd NW
Suite 101
Silverdale, WA 98383-8580
Phone (360) 900-2626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61039713 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Expert & Consulting LLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Physioworks Silverdale PLLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Ross M. Anderson, Anchor Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| 520 Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2727 Hollycroft St
Ste 310
Gig Harbor, WA 98335
Phone (253) 514-6757
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
319 Washington Ave S
Kent, WA 98032
Phone (253) 650-9780
9399 Ridgetop Blvd NW
Ste 101
Silverdale, WA 98383
Phone (360) 516-1210
9399 Ridgetop Blvd NW
Ste 102
Silverdale, WA 98383
Phone (360) 900-2626
1407 E 72nd St
Ste A100
Tacoma, WA 98404
Phone (253) 474-7474
1407 E 72nd St
Ste 100
Tacoma, WA 98404
Phone (253) 474-7474
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 7
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.
-
- Physical Therapist
- Kent, WA
- NPI 1528195369
-
- Physical Therapist
- Tacoma, WA
- NPI 1598976243
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Diagnostic Radiology Physician
- Covington, WA
- NPI 1578803839
-
- Physical Therapy Clinic/Center
- Bellevue, WA
- NPI 1740864982
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1295368686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 E 72ND ST STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984045923",
"telephone_number": "253-474-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 E 72ND ST STE 100",
"city": "TACOMA",
"state": "WA",
"postal_code": "984045923",
"telephone_number": "253-474-7474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERTEAN",
"first_name": "ROSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-13",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61039713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
- Andrew Obcemea
- Peggy Ann Oberg, ARNP
- Chad Thomas Oberhausen, PSY.D.
- Julie Star Oberhausen, PSY.D.
- Jonna Lee Obermiller, RDH
- Christencia Nkechi Obinna-Igbokwe, NP
- Objective Diagnostics & Research PS
- Objective Diagnostics Reserach & Rehabilitation Institute
- Samantha Mammen Ocampo
- Isamir Ocasio Arroyo, CF
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.