Individual provider Active NPI

Samuel S Olmstead, DPT

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1558874883
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60779532 Issued in WA
Practice address
22500 NE Marketplace Dr Ste 204
Redmond, WA 98053-2033
Phone
(425) 836-1034
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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 60779532 WA Primary

Addresses

Primary practice location

22500 NE Marketplace Dr Ste 204
Redmond, WA 98053-2033

Mailing address

4220 132ND St SE Ste 101
Mill Creek, WA 98012-8999
Phone (425) 316-8046

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180103001070 WA Practitioner - Physical Therapist in Private Practice 9133487770 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Redmond Ridge Physical Therapy PLLCGroup PAC ID 7810075561, 13 clinicians

Practice addresses (Care Compare)

22500 NE Marketplace Dr
Suite 204
Redmond, WA 98053-2033
Phone (425) 836-1034

4935 Lakemont Blvd SE
Suite 4
Bellevue, WA 98006-7800
Phone (425) 956-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60779532WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Nov 8, 2017 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Nov 8, 2017 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Nov 8, 2017 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC CurrentSince Nov 8, 2017 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Nov 8, 2017 Accepting new patients
Redmond Ridge Physical Therapy PLLC CurrentSince Nov 8, 2017 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC Physical Therapist CurrentSince Nov 8, 2017 Accepting new patients
Redmond Ridge Physical Therapy PLLC Physical Therapist CurrentSince Nov 8, 2017 Accepting new patients

Locations

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

4935 Lakemont Blvd SE
Ste 4
Bellevue, WA 98006
Phone (425) 956-3838

22910 Bothell Everett Hwy
Ste 107
Bothell, WA 98021
Phone (425) 686-7656

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085

22500 NE Marketplace Dr
Ste 204
Redmond, WA 98053
Phone (425) 836-1034

1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774

13930 NE 178th Pl
Ste 112
Woodinville, WA 98072
Phone (425) 939-2194

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1558874883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 132ND ST SE STE 101",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980128999",
            "telephone_number": "425-316-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22500 NE MARKETPLACE DR STE 204",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980532033",
            "telephone_number": "425-836-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60779532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.