MEDICARE: OLYMPIC PHYSICAL THERAPY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477512911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLYMPIC PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	1188 106TH AVE NE
Second Line	:	SUITE 100
City	:	BELLEVUE
State	:	WA
Zip	:	98004-8614
Country	:	US
Telephone Number	:	425-454-4864
Fax Number	:	425-646-3901

Provider Business Practice Location Address
First Line	:	11800 NE 128TH STREET
Second Line	:	SUITE 400
City	:	KIRKLAND
State	:	WA
Zip	:	98034-7208
Country	:	US
Telephone Number	:	425-820-0869
Fax Number	:	425-820-1745

Authorized Official
Title or Position	:	OWNER
Name	:	LARRY POST
Credential	:
Telephone Number	:	425-454-4864

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	02/09/2012

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Directions to “OLYMPIC PHYSICAL THERAPY, INC. ” Practice Location

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