Olympic Sports and Spine Rehabilitation Ps
NPI 1558310375ActiveOrganization· Physical Therapist· Puyallup, WA
Physical Therapist in Puyallup, Washington, registered in NPPES in May 2006. The authorized official on file is Vern J. Essenberg, PT, Chief Operations Officer.
Overview
| NPI | 1558310375 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 9, 2006 |
| Last updated in NPPES | Feb 3, 2016 |
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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