NPIMap

Organization Active NPI

Pain Treatment & Wellness Center PC.

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1225223258
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH00002314 Issued in WA
Legal business name
PAIN TREATMENT & WELLNESS CENTER PC.
Practice address
2445 4TH Ave S Ste 112
Seattle, WA 98134-1939
Phone
(206) 467-7202
Fax
(206) 622-0616
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Dr. Alex Selinsky, D.C.NPI 1477683837
Title
President
Phone
(206) 467-7202

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
Clinic/Center 261Q00000X CH00002314 WA Primary

Addresses

Primary practice location

2445 4TH Ave S Ste 112
Seattle, WA 98134-1939

Mailing address

2445 4TH Ave S Ste 112
Seattle, WA 98134-1939
Phone (206) 467-7202

Other identifiers 1

IdentifierTypeStateIssuer
GAB20582MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141108000066 WA Part B Supplier - Clinic/Group Practice 4486876364 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

2445 4th Ave S
Ste 112
Seattle, WA 98134
Phone (206) 467-7202

Practitioners & affiliated clinicians

Practitioners 7

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": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1225223258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 4TH AVE S STE 112",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341939",
            "telephone_number": "206-467-7202",
            "fax_number": "206-622-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 4TH AVE S STE 112",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341939",
            "telephone_number": "206-467-7202",
            "fax_number": "206-622-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN TREATMENT & WELLNESS CENTER PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "SELINSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-467-7202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "CH00002314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAB20582",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.