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

Jacob Olivas, PT, DPT

Individual provider Physical Therapist · NPI 1114658424

Jacob Olivas, PT, DPT is a Physical Therapist in Private Practice in Olympia, Washington. Qualified in 2022, 4 years ago. Practices with Olympia Orthopaedic Associates PLLC, a 112-clinician group and accepts Medicare assignment. Licensed in Montana and Washington.

Years since qualifying
4
Licensed in
MT, WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3901 Capital Mall Dr SW Ste D
Olympia, WA 98502-8654
Phone: (360) 709-6221
Fax: (360) 359-4727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence PT61544267 (WA)
Physical Therapist Taxonomy 225100000X · Licence 24370 (MT)

Record details

NPI number1114658424
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 19, 2022
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502-8654

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Olympia Orthopaedic Associates Pllc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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