Active NPI
Physiotherapy Associates Inc
- Rehabilitation Clinic/Center
- Olympia, WA
National Provider Identifier
1497793921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- PHYSIOTHERAPY ASSOCIATES INC
- Practice address
- 420 Lilly Rd NE
Olympia, WA 98506-5184 - Phone
- (360) 459-0260
- Fax
- (360) 456-3482
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jayne F Pool
- Title
- Chief Compliance Officer
- Phone
- (469) 467-8705
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | WA | Primary |
Addresses
Primary practice location
420 Lilly Rd NE
Olympia, WA 98506-5184
Mailing address
2300 Coit Rd
Ste 300
Plano, TX 75075-3768
Phone (469) 467-8705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34780 | Other | WA | LABOR & INDUSTRIES |
| 7122161 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1364169600000",
"number": "1497793921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 COIT RD",
"address_2": "STE 300",
"city": "PLANO",
"state": "TX",
"postal_code": "750753768",
"telephone_number": "469-467-8705",
"fax_number": "267-321-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065184",
"telephone_number": "360-459-0260",
"fax_number": "360-456-3482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2013-03-25",
"status": "A",
"authorized_official_last_name": "POOL",
"authorized_official_first_name": "JAYNE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "469-467-8705"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "34780",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7122161",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
- Barbara C Phillips, NP
- Christopher Martin Phillips
- Doreen Phillips, APRN
- Physical Therapy Empowered, PLLC
- Physicians of Southwest Washington Foundation for Quality Improvement (Healthy Communities Foundation)
- Physiotherapy Associates, Inc (Select Physical Therapy)
- Ashley Nicole Piacenti
- Luke Andrew Pickar, AU.D
- Christina Anneliese Pickard, LMP
- Jessica Pickert
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.