Jay Hartwig, PTA

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

P161678544 Issued in WA

Practice address

16259 Sylvester Rd SW Ste 102
Burien, WA 98166-3094

Phone

(206) 242-5186

NPI assigned

Oct 17, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1629850482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5539B E STEARNS ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW STE 102",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663094",
            "telephone_number": "206-242-5186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5539B E Stearns St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908153125",
            "country_code": "US",
            "telephone_number": "562-855-1129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTWIG",
        "first_name": "JAY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-17",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "8277",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "WA",
            "license": "P161678544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Sandra Harris
• Joshua Michael Harrison, PA-C
• Harry a. Pierce, DO, PS
• Kenyacktie Hartshorn, PSY.D.
• Peter S Hartwell, M.D.
• Edward Hartzler, MD
• Ayan Amin Hassan
• Jessica A Haug, SCHOOL NURSE RN
• Edith Louise Havranek, MA, LMHC
• Imahni Hawkins

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Burien, WA
• Providers in Burien, WA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.