Samuel Jaramillo, DPT – Orthopedic Physical Therapist

Key facts

NPI: 1629796933
Entity type: Individual (NPI type 1)
Primary specialty: Orthopedic Physical Therapist 2251X0800X
License: PTL0018625 (CO)
Practice address: 460 Boulevard Way Ste 2D
Piedmont, CA 94610-1563
Phone: (510) 922-8872
NPI assigned: Aug 22, 2022
Sex: Male
Sole proprietor: No

Organizations & group practices 4

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.

Multicare Health System Neurological Surgery Physician · Tacoma, WA · NPI 1497766638

Medicare reassignment NPD WA
Renew Physical Therapy PC Physical Therapy Clinic/Center · Novato, CA · NPI 1255508453

NPD ORTHOPEDIC
Multicare Health System Community/Retail Pharmacy · Spokane, WA · NPI 1396594875

NPD
Multicare Health System Family Medicine Physician · Kent, WA · NPI 1811949928

NPD

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Multicare Health System (2,312 clinicians)

Practice addresses (Care Compare)

7727 40TH St W
Suite a
University Place, WA 98466-3146
Phone (253) 460-1362

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230131000760	WA	Practitioner - Physical Therapist in Private Practice	4688045677	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
PTL0018625	CO	MD	Orthopedic Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Multicare Health System		Current	Accepting new patients
Multicare Health System		Current since Sep 29, 2025	Accepting new patients
Multicare Health System		Current since Sep 29, 2025	Accepting new patients
Renew Physical Therapy PC	Orthopedic	Current since Aug 28, 2022	Accepting new patients

Locations

460 Boulevard Way
Ste 2D
Piedmont, CA 94610
Phone (510) 922-8872

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

7727 40th St W
Ste A
University Place, WA 98466
Phone (253) 460-1362

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopedic Physical Therapist	2251X0800X	PTL0018625	CO	Yes

Addresses

Primary practice location

460 Boulevard Way Ste 2D
Piedmont, CA 94610-1563

Mailing address

5002 Grand Lakes Dr S
Jacksonville, FL 32258-4214
Phone (904) 238-7831

Other providers in Piedmont, CA

Dale Brian Herrero, DDS
Constance Colton Herrick, L.AC, DIPL. O.M.
Linda Hirshfeld, PHD
Michelle Hoang
Emily Huston
Ada Jauregui, DPT
Carlos B Johnson
Cindy Ann Kahan, MFT
Erik Vincent Kahn, LMFT
Cynthia G Kane, MS

All providers in Piedmont, CA · Orthopedic Physical Therapist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.