United Backcare PS

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

UNITED BACKCARE PS

Practice address

821 E Broadway Ave Ste 11
Moses Lake, WA 98837-5934

Phone

(425) 513-8509

Fax

(425) 290-9774

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Mary E Spores, OTR

Title

Owner

Phone

(425) 513-8509

Specialties & licenses 1

Addresses

Other names 1

• Pacific Rehabilitation Centers Doing business as

Locations

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1104523109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 7TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083710",
            "telephone_number": "425-513-8509",
            "fax_number": "425-290-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E BROADWAY AVE STE 11",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375934",
            "telephone_number": "425-513-8509",
            "fax_number": "425-290-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED BACKCARE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "SPORES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-513-8509",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Rehabilitation Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific Rehabilitation Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula D Turner, MS, CCC-SLP
• Thomas R Tuszynski, MD
• Tyrone F. Rodriguez, D.D.S., P.L.L.C.
• Keith M Ulnick, DO
• Amy Umberger, MSW
• Jiselle S Urbano
• Brooke Valdez, MS, BS, CAAL
• Izabella Valdez
• Mitchell David Valente, PA-C
• Melissa Vallejo

• Multi-Specialty Clinic/Center in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Multi-Specialty Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.