OLYMPIC SPORTS AND SPINE REHABILITATION PS – Physical Therapist, NPI 1558310375

OLYMPIC SPORTS AND SPINE REHABILITATION PS is a healthcare provider. based in Puyallup, Washington. specializing in Physical Therapist. The NPI Number for OLYMPIC SPORTS AND SPINE REHABILITATION PS is 1558310375

Main info

Organization
Name
OLYMPIC SPORTS AND SPINE REHABILITATION PS
NPI
1558310375
Phone
(253) 848-0662
Address
8011 112TH STREET CT E
Authorized Official
MR. VERN J ESSENBERG JR. CHIEF OPERATIONS OFFICER PT
Enumeration Date
9 May 2006
Last Update Date
3 February 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for OLYMPIC SPORTS AND SPINE REHABILITATION PS

  • 8011 112TH STREET CT E

    PUYALLUP, WA 983737814

    Phone: (253) 848-0662

    Fax: (253) 848-8567

    Type: Location

  • 9315, Gravelly Lake Drive Southwest, Lakewood Plaza Apartments, Custer, Lakewood, Pierce County, Washington, 98499, United States

    SUITE 306

    LAKEWOOD, WA 984991574

    Phone: (253) 581-5200

    Fax: (253) 581-5203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98373)

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Reviews

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Frequently asked questions

Where can patients find OLYMPIC SPORTS AND SPINE REHABILITATION PS's NPI?
You can confirm OLYMPIC SPORTS AND SPINE REHABILITATION PS with NPI 1558310375; it appears in the national provider directory.
Is OLYMPIC SPORTS AND SPINE REHABILITATION PS currently active in the NPI registry?
CMS-published data lists OLYMPIC SPORTS AND SPINE REHABILITATION PS as an active registrant.
Does OLYMPIC SPORTS AND SPINE REHABILITATION PS list a primary specialty?
If you are matching referrals, note Physical Therapist for OLYMPIC SPORTS AND SPINE REHABILITATION PS. Clinical services aligned with this taxonomy classification.
What location shows for OLYMPIC SPORTS AND SPINE REHABILITATION PS?
We surface Puyallup, Washington for OLYMPIC SPORTS AND SPINE REHABILITATION PS based on available NPPES addresses.
Is OLYMPIC SPORTS AND SPINE REHABILITATION PS a real provider?
This page reflects official NPPES data for NPI 1558310375. Always confirm identity and privileges with the practice and licensing boards.

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