Individual provider Active NPI

Michael J Covington, DC

  • Rehabilitation Chiropractor
  • Yakima, WA
National Provider Identifier
1003038977
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
CH60022455 Issued in WA
Practice address
3907 Creekside Loop Ste 100
Yakima, WA 98902-4879
Phone
(509) 895-7535
Fax
(509) 895-7355
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60022455 WA
Independent Medical Examiner Chiropractor 111NI0013X CH60022455 WA
Sports Physician Chiropractor 111NS0005X CH60022455 WA
Rehabilitation Chiropractor 111NR0400X CH60022455 WA Primary

Addresses

Primary practice location

3907 Creekside Loop Ste 100
Yakima, WA 98902-4879

Mailing address

3907 Creekside Loop Ste 100
Yakima, WA 98902-4879
Phone (509) 895-7535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000243 WA Practitioner - Chiropractic 5597839365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Covington Clinic PCGroup PAC ID 2668787078, 2 clinicians

Practice addresses (Care Compare)

3902 Creekside Loop
Suite 110
Yakima, WA 98902-4876
Phone (509) 895-7535

3907 Creekside Loop
Suite 100
Yakima, WA 98902-4879

Hospital & facility affiliations

  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60022455WAMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Covington Clinic P.C. Rehabilitation CurrentSince Jul 19, 2010 Accepting new patients

Locations

6101 Summitview Ave
Ste 200
Yakima, WA 98908
Phone (509) 902-8856

3902 Creekside Loop
Ste 110
Yakima, WA 98902
Phone (509) 215-5946

3907 Creekside Loop
Ste 100
Yakima, WA 98902
Phone (509) 457-1900

3909 Creekside Loop
Ste 150
Yakima, WA 98902
Phone (425) 885-6600

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/496993/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1003038977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 CREEKSIDE LOOP STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024879",
            "telephone_number": "509-895-7535",
            "fax_number": "509-895-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 CREEKSIDE LOOP STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024879",
            "telephone_number": "509-895-7535",
            "fax_number": "509-895-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVINGTON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60022455",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "WA",
            "license": "CH60022455",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH60022455",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "WA",
            "license": "CH60022455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.