Organization Active NPI

Rehabilitation, Sports & Spine Center, P.S.

  • Specialist
  • Everett, WA
National Provider Identifier
1003993890
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
REHABILITATION, SPORTS & SPINE CENTER, P.S.
Practice address
3216 Norton Ave
Suite 101
Everett, WA 98201-4290
Phone
(425) 258-7511
Fax
(425) 258-7742
NPI assigned
Nov 1, 2006
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Kathy Batie
Title
Business Manager
Phone
(425) 258-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

3216 Norton Ave
Suite 101
Everett, WA 98201-4290

Mailing address

3216 Norton Ave
Suite 101
Everett, WA 98201-4290
Phone (425) 258-7511

Other identifiers 2

IdentifierTypeStateIssuer
165669OtherWALABOR & INDUSTRIES
7086598MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1003993890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 NORTON AVE",
            "address_2": "SUITE 101",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014290",
            "telephone_number": "425-258-7511",
            "fax_number": "425-258-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 NORTON AVE",
            "address_2": "SUITE 101",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014290",
            "telephone_number": "425-258-7511",
            "fax_number": "425-258-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION, SPORTS & SPINE CENTER, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "BATIE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "425-258-7511"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "165669",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7086598",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.