Jathzeel Amadeo Olivares, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

417 W Yelm Ave
Yelm, WA 98597

Phone

(360) 458-2444

Fax

(360) 458-2747

NPI assigned

Jun 6, 2025

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yelm Physical Therapy Services Inc PSGroup PAC ID 5395963490, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yelm Physical Therapy Services Inc PS

  dba Yelm Physical Therapy

  • Physical Therapist
  • Yelm, WA
  • NPI 1639595085
  Medicare reassignment Care Compare group NPD
• Yelm Physical Therapy, PLLC

  dba Yelm Physical Therapy

  • Physical Therapist
  • Yelm, WA
  • NPI 1023389764
  NPD

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

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1437043189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DENNIS ST SW STE B",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016523",
            "telephone_number": "360-338-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W YELM AVE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "98597",
            "telephone_number": "360-458-2444",
            "fax_number": "360-458-2747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Dennis St SW Ste B",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985016523",
            "country_code": "US",
            "telephone_number": "360-338-0181 x107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVARES",
        "first_name": "JATHZEEL",
        "middle_name": "AMADEO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Lynn Neff, L.M,
• Andrea Lynn Neubaur, BCBA
• Kevin NG
• Northwest Advanced Spinal Care PLLC (Northwest Advanced Spinal Care)
• Lauren Rochelle Ohlson, MSW
• Sharon J Olson, ARNP
• Our Shared Roots
• Madison Carrie Ann Pate, LMT
• Frances L Pearre
• William J Penn, M.D.

• Physical Therapist in Yelm, WA
• Providers in Yelm, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.