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Olympic Sports and Spine Rehabilitation Ps

Physical Therapist in Puyallup, WA · enumerated 2006 · authorized official Vern Essenberg, Chief Operations Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558310375

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Registry record

Entity type Organization (Type 2)
Legal business name Olympic Sports and Spine Rehabilitation Ps
Practice address 8011 112th Street Ct E, Puyallup, WA, 98373
Phone (253) 848-0662
Fax (253) 848-8567
Enumeration date May 9, 2006
Last updated in NPPES Feb 3, 2016

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary
225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Vern Essenberg
Title Chief Operations Officer
Phone (253) 581-5200

Other identifiers

Identifier Type State Issuer
42640 Other WA LABOR & INDUSTRIES
8930571 Other WA L & I CRIME VICTIM PRGM
192149400 Other WA OWCP
PO9605 Other WA REGENCE BLUE SHIELD
7130271 Medicaid WA -
7681703 Medicaid WA -
CT1246 Other WA RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Olympic Sports and Spine Rehabilitation Ps?
NPPES lists Vern Essenberg (Chief Operations Officer) as the authorized official for this organization.
What is the NPI number for Olympic Sports and Spine Rehabilitation Ps?
The NPI for Olympic Sports and Spine Rehabilitation Ps is 1558310375, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-03.