Jake Pablito Ortega Lusabe II, DPT
NPI 1336085125ActiveIndividual· Physical Therapist· Longview, WA
Physical Therapist (DPT) with Northwest Center for Sports Medicine and Physical Therapy Inc, practicing in Longview, Washington. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1336085125 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Apr 25, 2026 |
| Last updated in NPPES | May 8, 2026 |
| Certified by provider | May 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT.PT.61406907 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Northwest Center for Sports Medicine and Physical Therapy IncTacoma, WA · 88 clinicians
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