Individual provider Active NPI

Jacob Boese

  • Physical Therapist
  • Olympia, WA
National Provider Identifier
1942898028
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.PT.61590626-CP Issued in WA
Practice address
615 Lilly Rd NE Ste 240
Olympia, WA 98506-5117
Phone
(360) 413-3850
Fax
(360) 359-4726
NPI assigned
Jan 5, 2021
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP0369TT1 CO
Physical Therapist 225100000X PT.PT.61590626-CP WA Primary
Physical Therapist 225100000X CP046626T OH

Addresses

Primary practice location

615 Lilly Rd NE Ste 240
Olympia, WA 98506-5117

Mailing address

615 Lilly Rd NE Ste 240
Olympia, WA 98506-5117
Phone (360) 413-3850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240805003657 WA Practitioner - Physical Therapist in Private Practice 1759828981 Reassigns benefits to 1 organization
I20250917000477 OH Practitioner - Physical Therapist in Private Practice 1759828981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, shared by 46 NPIs, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP0369TT1COMDPhysical Therapist
CP046626TOHMDPhysical Therapist
PT.PT.61590626-CPWAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohrh, LLC Physical Therapist CurrentSince Jul 21, 2025 Accepting new patients
Ohrh, LLC CurrentSince Jul 21, 2025 Accepting new patients
Ohrh, LLC Current Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Select Physical Therapy of West Denver Limited Partnership PastSince Aug 18, 2019 Accepting new patients
Theraphysics Partners of Colorado, Inc. PastSince Aug 1, 2018 Accepting new patients
Ohrh, LLC Physical Therapist PastSince Jan 17, 2022 Accepting new patients
Physiotherapy Associates Inc PastSince Dec 8, 2024 Accepting new patients
Physiotherapy Associates Inc PastSince Dec 8, 2024 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

6021 Cleveland Ave
Columbus, OH 43231
Phone (614) 895-1090

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

2030 Stringtown Rd
Ste 310
Grove City, OH 43123
Phone (614) 361-7109

Organizations & group practices 12

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1942898028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LILLY RD NE STE 240",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065117",
            "telephone_number": "360-413-3850",
            "fax_number": "360-359-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LILLY RD NE STE 240",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065117",
            "telephone_number": "360-413-3850",
            "fax_number": "360-359-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESE",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP0369TT1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.61590626-CP",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "CP046626T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.