Summit Sports and Spine PS

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH60023794 Issued in WA

Legal business name

SUMMIT SPORTS AND SPINE PS

Practice address

1515 116TH Ave NE Ste 202
Bellevue, WA 98004-3811

Phone

(425) 274-8989

Fax

(425) 274-8998

NPI assigned

Dec 8, 2015

Organization subpart

No

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

Authorized official

Name

Jacob D Perkins, DC

Title

President

Phone

(253) 886-1175

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Kent, L.M.P.

  • Massage Therapist
  • Bellevue, WA
  • NPI 1952841694
  NPD (past)

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1114392685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 116TH AVE NE STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043811",
            "telephone_number": "425-274-8989",
            "fax_number": "425-274-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 116TH AVE NE STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043811",
            "telephone_number": "425-274-8989",
            "fax_number": "425-274-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPORTS AND SPINE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-886-1175",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH60023794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas P Sullivan, M.D.
• Sum of Learning, LLC
• Rosanne Sumalpong
• Summit BHC Seattle LLC
• Summit Healthcare Alliance PLLC
• Summit Urgent Care, P.S.
• Summit Urgent Care, P.S.
• Sun Vista Home Care Agency LLC
• Holin Sun
• Howie H. Sun, L.AC.

• Sports Physician Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.