Northwest Physical Medicine PS

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

MD00044383 Issued in WA

Legal business name

NORTHWEST PHYSICAL MEDICINE PS

Doing business as

Bellevue Wellness

Practice address

10655 NE 4TH St
Suite 101
Bellevue, WA 98004-5035

Phone

(425) 455-2225

NPI assigned

Dec 26, 2011

Last updated

May 30, 2012By 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

Dr. Raymon Kooner, MDNPI 1053404038

Title

Owner

Phone

(425) 455-2225

Specialties & licenses 1

Addresses

Other names 1

• Bellevue Wellness Doing business as

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.

• Raymon Kooner, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1053404038
  Authorized official Same address or phone

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1265701965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10655 NE 4TH ST",
            "address_2": "SUITE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045035",
            "telephone_number": "425-455-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10655 NE 4TH ST",
            "address_2": "SUITE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045035",
            "telephone_number": "425-455-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PHYSICAL MEDICINE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-26",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "KOONER",
        "authorized_official_first_name": "RAYMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-455-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WA",
            "license": "MD00044383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Kidney Centers (Bellevue Kidney Center)
• Northwest Neuropsychology Learning and Behavioral Services
• Northwest Outpatient Anesthesia PLLC
• Northwest Pain Consultants PLLC
• Northwest Pediatric Eye Care P.S.
• Northwest Physical Medicine PS
• Northwest Physicians Laboratories
• Northwest Podiatry, PLLC
• Northwest Rehabilitation Associates, Inc., PS
• Northwest Solstice Counseling, PLLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.