NPIMap

Organization Active NPI

Olympic Sports Rehab

  • Physical Therapy Clinic/Center
  • Mountlake Terrace, WA
National Provider Identifier
1457192874
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OLYMPIC SPORTS REHAB
Practice address
6808 220TH St SW Ste 303
Mountlake Terrace, WA 98043-2187
Phone
(206) 465-3616
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Bryan Simpson, PT, DPTNPI 1700266673
Title
Clinic Owner
Phone
(425) 650-1900

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6808 220TH St SW Ste 303
Mountlake Terrace, WA 98043-2187

Mailing address

6808 220TH St SW Ste 303
Mountlake Terrace, WA 98043-2187
Phone (425) 650-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250120000578 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284163353 Receives reassigned benefits from 5 practitioners
Practice locations: Mountlake Terrace, WA

National Provider Directory

National Provider Directory

Locations

6808 220th St SW
Ste 303
Mountlake Terrace, WA 98043
Phone (425) 650-1900

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1457192874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 220TH ST SW STE 303",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432187",
            "telephone_number": "425-650-1900",
            "fax_number": "425-650-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 220TH ST SW STE 303",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432187",
            "telephone_number": "206-465-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "425-650-1900",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountlake Terrace, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.