NPIMap

Organization Active NPI

Olympia Physical Therapy & Industrial Rehabilitation, Inc.

  • Physical Therapist
  • Lacey, WA
National Provider Identifier
1467632745
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
8750 Talon LN NE
Hawks Prairie Suite C
Lacey, WA 98516-6642
Phone
(360) 456-1072
Fax
(360) 459-9954
NPI assigned
Nov 5, 2007
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
OLYMPIA PHYSICAL THERAPY AND INDUSTRIAL REHABILITATION, INC.As reported in NPPES

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, MPT
Title
MPT / Owner
Phone
(360) 352-5077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

8750 Talon LN NE
Hawks Prairie Suite C
Lacey, WA 98516-6642

Mailing address

2755 Mottman Rd SW
Olympia Physical Therapy & Rehabilitation, Inc.
Tumwater, WA 98512-5684
Phone (360) 352-5077

Other identifiers 4

IdentifierTypeStateIssuer
7115074MedicaidWA
017966 0001OtherWAPACIFICARE
0166743OtherWALABOR & INDUSTRIES
CK7840OtherWARAILROAD MEDICARE

Other names 1

  • DBA Hawk's Prairie 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
This NPI is an additional NPI on the 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
Part of
Olympia Physical Therapy I

Other organizations with this tax ID 1

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

Locations

1760 Barnes Blvd SW
Tumwater, WA 98512
Phone (360) 352-5077

1770 Barnes Blvd SW
Tumwater, WA 98512
Phone (360) 352-5077

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1467632745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 MOTTMAN RD SW",
            "address_2": "OLYMPIA PHYSICAL THERAPY & REHABILITATION, INC.",
            "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": "8750 TALON LN NE",
            "address_2": "HAWKS PRAIRIE SUITE C",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985166642",
            "telephone_number": "360-456-1072",
            "fax_number": "360-459-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA PHYSICAL THERAPY & INDUSTRIAL REHABILITATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLYMPIA PHYSICAL THERAPY AND INDUSTRIAL REHABILITATION, INC.",
        "enumeration_date": "2007-11-05",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115074",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "017966 0001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0166743",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK7840",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Hawk's Prairie Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lacey, 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.