Provider Demographics
NPI:1144561267
Name:OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC
Other - Org Name:OLYMPIA ORTHOPAEDIC PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HALPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-455-5144
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98507-0368
Mailing Address - Country:US
Mailing Address - Phone:360-455-5144
Mailing Address - Fax:360-491-7536
Practice Address - Street 1:3901 CAPITAL MALL DR SW
Practice Address - Street 2:SUITE D
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-8654
Practice Address - Country:US
Practice Address - Phone:360-709-6221
Practice Address - Fax:360-359-4727
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OLYMPIA ORTHOPAEDIC ASSOCIATES, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-14
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601617151225100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty