Ortho Sport & Spine Physicians of Washington

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHO SPORT & SPINE PHYSICIANS OF WASHINGTON

Practice address

17600 NE Delfel Rd
Ridgefield, WA 98642

Phone

(800) 678-4611

NPI assigned

Oct 28, 2024

Last updated

Apr 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith Beltzhoover

Title

RCM Director

Phone

(800) 678-4611

Specialties & licenses 2

Addresses

Tax ID family

Ortho Sport Spine Physicians of Washington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ortho Sport & Spine Physicians Vancouver

  • Physical Medicine & Rehabilitation Physician
  • Ridgefield, WA
  • NPI 1346114360
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Yoonsuk Lee, DO

  • Physical Medicine & Rehabilitation Physician
  • Ridgefield, WA
  • NPI 1316145675
  NPD (past)

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1043032485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "678-752-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 NE DELFEL RD",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "98642",
            "telephone_number": "800-678-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "BELTZHOOVER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "800-678-4611"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hagerty Counseling LLC
• Bruce Roderick Nielson
• Chelsea Noonan, RN
• Heather A Noonan, LMP
• Northwest Mobile Anesthesia Group, PLLC
• Ortho Sport & Spine Physicians Vancouver
• Kenneth F Otten
• McKinzee Pachl, LICSW
• Pacific North Recovery Center, LLC
• Taynua Page

• Orthopaedic Surgery Physician in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.