Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Boese

Individual provider Physical Therapist · NPI 1942898028

Jacob Boese is a Physical Therapist in Private Practice in Olympia, Washington. Qualified in 2024, 2 years ago. Practices with Olympia Orthopaedic Associates PLLC, a 112-clinician group and accepts Medicare assignment. Licensed in Colorado, Ohio and Washington.

Years since qualifying
2
Licensed in
CO, OH, WA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

615 Lilly Rd NE Ste 240
Olympia, WA 98506-5117
Phone: (360) 413-3850
Fax: (360) 359-4726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT.PT.61590626-CP (WA)
Physical Therapist Taxonomy 225100000X · Licence CP0369TT1 (CO)
Physical Therapist Taxonomy 225100000X · Licence CP046626T (OH)

Record details

NPI number1942898028
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address615 Lilly Rd Ne Ste 240, Olympia, WA 98506-5117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Olympia Orthopaedic Associates Pllc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Olympia