Individual provider Active NPI

Ross Obertean

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1295368686
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61039713 Issued in WA
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

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 5294839031, 6 clinicians
Physioworks Silverdale PLLCGroup PAC ID 3971908484, 7 clinicians

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

LicenseStateTypeSpecialty
PT61039713WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Expert & Consulting LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Physioworks Silverdale PLLC CurrentSince Sep 1, 2025 Accepting new patients
Multicare Health System CurrentSince Sep 16, 2021 Accepting new patients
Ross M. Anderson, Anchor Physical Therapy Physical Therapist CurrentSince Mar 2, 2020 Accepting new patients
Multicare Health System CurrentSince Sep 16, 2021 Accepting new patients
520 Physical Therapy, LLC Physical Therapist PastSince May 16, 2021 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.

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

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.

Verify at the official NPI Registry.