NPIMap

Organization Active NPI

Infinity Sports Rehab

  • Sports Physician Chiropractor
  • Redmond, WA
National Provider Identifier
1154784411
Registry record updated Apr 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
CH60622317 Issued in WA
Legal business name
INFINITY SPORTS REHAB
Practice address
17523 NE 67TH CT
Redmond, WA 98052-4939
Phone
(425) 736-4309
NPI assigned
Apr 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2016

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

Authorized official

Name
Dr. David Mobley, D.C., M.S.NPI 1790148054
Title
Owner
Phone
(425) 736-4309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X CH60622317 WA Primary

Addresses

Primary practice location

17523 NE 67TH CT
Redmond, WA 98052-4939

Mailing address

17523 NE 67TH CT
Redmond, WA 98052-4939

National Provider Directory

National Provider Directory

Locations

17523 NE 67th Ct
Redmond, WA 98052
Phone (425) 245-0667

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459641600000",
    "number": "1154784411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17523 NE 67TH CT",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17523 NE 67TH CT",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980524939",
            "telephone_number": "425-736-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-03",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-736-4309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., M.S."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH60622317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.