Active NPI
Rehabilitation, Sports & Spine Center, P.S.
- Specialist
- Everett, WA
National Provider Identifier
1003993890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165669 | Other | WA | LABOR & INDUSTRIES |
| 7086598 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI 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.