JACOB OLIVAS PT, DPT
NPI 1114658424
Physical Therapist - Neurology in Olympia, WA

Q: What is Jacob Olivas's NPI number?

The NPI number for Jacob Olivas is 1114658424. It was assigned to this individual provider in the NPPES registry on June 19, 2022.

Q: What is Jacob Olivas's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Olivas was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 19, 2022Accepts Medicare Assignment

3901 CAPITAL MALL DR SW STE D, OLYMPIA, WA 98502(360) 709-6221(360) 359-4727 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jacob Olivas Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB OLIVAS PT, DPT (NPI 1114658424) is an individual neurology provider in Olympia, Washington, licensed in Washington (PT61544267) and active in the NPI registry since June 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1114658424

Entity TypeIndividualMale

Primary Taxonomy2251N0400X

Provider Legal NameJACOB OLIVASCredential: PT, DPT

Location Address3901 CAPITAL MALL DR SW STE DOlympia, WA 98502-8654

Mailing Address3901 Capital Mall Dr Sw Ste DOlympia, WA 98502-8654 · (360) 709-6221 · Fax (360) 359-4727

Phone(360) 709-6221

Fax(360) 359-4727

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 19, 2022

Last NPPES UpdateNovember 21, 2024

NPPES CertifiedNovember 21, 2024

✔ NPI 1114658424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

License✔ Licensed in WA · PT61544267

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

Also ListedPhysical TherapistTaxonomy 225100000X · License 24370 (MT)

3901 CAPITAL MALL DR SW STE D, Olympia, WA 98502

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Olivas Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840725008

PECOS Enrollment IDI20241125001852

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ASHLEY ALYAS PT, DPT

Physical Therapist