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

Jesse De Roover

Individual provider Physical Therapist · NPI 1386582963

Jesse De Roover is a Physical Therapist in Private Practice in Tumwater, Washington. Practices with Northwest Center for Sports Medicine and Physical Therapy Inc, a 87-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2026
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5765 Littlerock Rd SW Ste 107
Tumwater, WA 98512-7311
Phone: (564) 999-4146
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 65999 (OR)
Physical Therapist Taxonomy 225100000X · Licence CP054655T (WA)
Physical Therapist Taxonomy 225100000X · Licence PT.PT.70114277-CP (WA)

Record details

NPI number1386582963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2026
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Group practice Northwest Center For Sports Medicine And Physical Therapy Inc — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tumwater