Individual provider Active NPI

Alex Alton Pittman, PT PA-C

  • Physician Assistant
  • Olympia, WA
National Provider Identifier
1881970200
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60991959 Issued in WA
Practice address
3901 Capital Mall Dr SW Ste a
Olympia, WA 98502-6025
Phone
(318) 323-8451
Fax
(318) 361-2613
NPI assigned
Oct 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6554 SC
Physician Assistant 363A00000X PA.200822 LA
Surgical Physician Assistant 363AS0400X PA987 AL
Physician Assistant 363A00000X PA60991959 WA Primary

Addresses

Primary practice location

3901 Capital Mall Dr SW Ste a
Olympia, WA 98502-6025

Mailing address

PO Box 368
Olympia, WA 98507-0368
Phone (360) 491-8439

Other identifiers 1

IdentifierTypeStateIssuer
2142842MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130625000388 VI Practitioner - Physician Assistant 5698942951 Reassigns benefits to 1 organization
I20191125001072 WA Practitioner - Physician Assistant 5698942951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Olympia Orthopaedic Associates PLLCGroup PAC ID 2365337508, 87 clinicians

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

3124 S 19TH St
Tacoma, WA 98405-2433

4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Phone (253) 530-8011

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

615 Lilly Rd NE
Olympia, WA 98506-5117
Phone (360) 491-4211

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Covington Medical Center Hospital, Covington, WA, CCN 500154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6554SCMDPharmacist
PA.200822LAMDPhysician Assistant
PA60991959WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Good 2 Be Physical Therapy, LLC Physical Therapist Current Accepting new patients
Olympia Orthopaedic Associates, PLLC CurrentSince Nov 1, 2019 Accepting new patients
Multicare Health System CurrentSince Jun 1, 2022 Accepting new patients
Olympia Orthopaedic Associates PLLC CurrentSince Nov 1, 2019 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients
HH Health System - the Orthopaedic Center, LLC PastSince Aug 13, 2023 Accepting new patients

Locations

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

615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850

3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571

3901 Capital Mall Dr SW
#A
Olympia, WA 98502
Phone (360) 570-3460

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

316 S K St
Tacoma, WA 98405
Phone (253) 403-1375

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
  • Direct secure messaging: alex.pittman.1@5512.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1881970200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985070368",
            "telephone_number": "360-491-8439",
            "fax_number": "360-491-6328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CAPITAL MALL DR SW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985026025",
            "telephone_number": "318-323-8451",
            "fax_number": "318-361-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "ALEX",
        "middle_name": "ALTON",
        "name_prefix": "Mr.",
        "credential": "PT PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6554",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200822",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA987",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60991959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142842",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.