Individual provider Active NPI

Jamie Allison Jacobs

  • Physical Therapist
  • Pasco, WA
National Provider Identifier
1487499802
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61522683 Issued in WA
Practice address
6825 Burden Blvd
Pasco, WA 99301-5633
Phone
(509) 545-1010
NPI assigned
Jun 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 61522683 WA Primary

Addresses

Primary practice location

6825 Burden Blvd
Pasco, WA 99301-5633

Mailing address

3603 W Court St
Pasco, WA 99301-2709
Phone (509) 735-3555

Other practice location 1

3603 W Court St
Pasco, WA 99301-2709
Phone (509) 735-3555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725002134 WA Practitioner - Physical Therapist in Private Practice 1355887472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6825 Burden Blvd
Suite D
Pasco, WA 99301-5633
Phone (509) 545-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61522683WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Physical Therapy, LLC CurrentSince Jul 1, 2024 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Mar 31, 2025 Accepting new patients
Oasis Physical Therapy, PLLC Physical Therapist CurrentSince Aug 5, 2013 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Peak Sports & Spine Physical Therapy-Klahanie PS Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

512 N Young St
Ste C
Kennewick, WA 99336
Phone (509) 572-2605

6825 Burden Blvd
Ste D
Pasco, WA 99301
Phone (509) 416-0444

3603 W Court St
Pasco, WA 99301
Phone (509) 412-1085

1020 Queensgate Dr
Richland, WA 99352
Phone (509) 578-5100

4550 Klahanie Dr SE
Sammamish, WA 98029
Phone (425) 391-2427

Organizations & group practices 5

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": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1487499802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993012709",
            "telephone_number": "509-735-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015633",
            "telephone_number": "509-545-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3603 W Court St",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993012709",
            "country_code": "US",
            "telephone_number": "509-735-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JAMIE",
        "middle_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61522683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.