Olympic Sports and Spine Rehabilitation, P.S.
NPI 1144685306ActiveOrganization· Physical Therapist· Puyallup, WA
Physical Therapist in Puyallup, Washington, registered in NPPES in December 2015. The authorized official on file is Brian Thacker, PT, Vice President.
Overview
| NPI | 1144685306 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2015 |
| Last updated in NPPES | Dec 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Massage Therapist | 225700000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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