Active NPI
Olympia Arthritis & Rehabilitation Clinic Inc PS
- Legal Medicine
- Olympia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- MD00024518
- Legal business name
- OLYMPIA ARTHRITIS & REHABILITATION CLINIC INC PS
- Practice address
- 1212 Harrison Ave NW
Olympia, WA 98502-5466 - Phone
- (360) 754-6700
- Fax
- (360) 357-2202
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Walter Layton, M.D.
- Title
- President
- Phone
- (360) 754-6700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | MD00024518 | WA | Primary |
Addresses
Primary practice location
1212 Harrison Ave NW
Olympia, WA 98502-5466
Mailing address
1212 Harrison Ave NW
Olympia, WA 98502-5466
Phone (360) 754-6700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8235038 | Medicaid | WA | |
| 126185 | Other | WA | L&I NUMBER YSC |
| 1027689 | Medicaid | WA | |
| 12371 | Other | WA | L&I NUMBER MWL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2339868 | Olympia Arthritis and Rehabilitation Clinic | Compliance | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
1212 Harrison Ave NW
Olympia, WA 98502
Phone (360) 754-6700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lakebay, WA
- NPI 1982423216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297123200000",
"number": "1952453748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 HARRISON AVE NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025466",
"telephone_number": "360-754-6700",
"fax_number": "360-754-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 HARRISON AVE NW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025466",
"telephone_number": "360-754-6700",
"fax_number": "360-357-2202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLYMPIA ARTHRITIS & REHABILITATION CLINIC INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2011-02-08",
"status": "A",
"authorized_official_last_name": "LAYTON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "WALTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-754-6700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "WA",
"license": "MD00024518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8235038",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I NUMBER YSC",
"identifier": "126185",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027689",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I NUMBER MWL",
"identifier": "12371",
"state": "WA"
}
],
"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 Feb 8, 2011; 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.