Blake Altizer, PT, DPT in Olympia, WA - Medicare Physical Therapist Provider

Blake Altizer, PT, DPT is a medicare enrolled "Physical Therapist" provider in Olympia, Washington. His current practice location is 3901 Capital Mall Dr Sw Ste D, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 709-6221.

Blake Altizer is licensed to practice in Washington (license number PT61429629) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962137844.

Contact Information

	Blake Altizer, PT, DPT
	3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502-8654
	(360) 709-6221
	(360) 359-4727

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Altizer
Gender	Male
Speciality	Physical Therapist
Location	3901 Capital Mall Dr Sw Ste D, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962137844
Provider Enumeration Date: 07/23/2022
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 1254707003
Enrollment ID: I20221019000418

Medical Identifiers

Medical identifiers for Blake Altizer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962137844	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2305215189 (Virginia)	Secondary
225100000X	Physical Therapist	PT016379 (Georgia)	Secondary
225100000X	Physical Therapist	PT61429629 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Blake Altizer allows following entities to bill medicare on his behalf.

Provider Name	Jackson Clinics Limited Partnership
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140327000554

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Altizer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Blake Altizer, PT, DPT 3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502-8654 Ph: (360) 709-6221	Blake Altizer, PT, DPT 3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502-8654 Ph: (360) 709-6221

Reviews and Comments

Physical Therapist in Olympia, WA

Ms. Claire Catherine Orazem, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Lane Ne, Olympia, WA 98506 Phone: 360-493-4995 Fax: 360-493-4470
Mr. Jonathan P. Jove, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3000 Limited Ln Nw Ste 100, Olympia, WA 98502 Phone: 253-350-1869 Fax: 360-292-7247
Laura Ashley Alyas, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3901 Capital Mall Dr Sw Ste D, Olympia, WA 98502 Phone: 360-709-6221
Mrs. Cheryl Bonebrake Howard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3015 Limited Ln Nw, Ste B, Olympia, WA 98502 Phone: 360-709-0700 Fax: 360-709-0703
Angelica Kim, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Providence Ln Ne, Emilie Gamelin Pavilion, 2nd Floor, Olympia, WA 98506 Phone: 360-493-4995
Victoria Chenoweth, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2102 Carriage St Sw Ste B, Olympia, WA 98502 Phone: 360-866-0408
Rachael C Loebach, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 360 Lilly Rd Ne, Suite A, Olympia, WA 98506 Phone: 360-486-0640 Fax: 360-486-0641

Blake Altizer, PT, DPT - Medicare Physical Therapist in Olympia, WA