Organization Active NPI

Sports and Spine Physical Therapy

  • Physical Therapist
  • Auburn, WA
National Provider Identifier
1285199836
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPORTS AND SPINE PHYSICAL THERAPY
Practice address
801 Auburn Way N Ste E
Auburn, WA 98002-4164
Phone
(253) 736-2340
NPI assigned
Feb 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Laura Pope
Title
VP Operations
Phone
(425) 209-2830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

801 Auburn Way N Ste E
Auburn, WA 98002-4164

Mailing address

915 118TH Ave SE Ste 110
Bellevue, WA 98005-3875

Other practice location 1

1408 Lake Tapps Pkwy SE Ste E105
Auburn, WA 98092-8158
Phone (253) 939-7179

Other practice location 2

19400 108th Ave SE Ste 110
Kent, WA 98031-0108
Phone (425) 917-9885

National Provider Directory

National Provider Directory

Locations

19400 108th Ave SE
Ste 110
Kent, WA 98031
Phone (425) 917-9885

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1285199836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 118TH AVE SE STE 110",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 AUBURN WAY N STE E",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024164",
            "telephone_number": "253-736-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 Lake Tapps Pkwy SE Ste E105",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980928158",
            "country_code": "US",
            "telephone_number": "253-939-7179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19400 108th Ave SE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980310108",
            "country_code": "US",
            "telephone_number": "425-917-9885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTS AND SPINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "425-209-2830"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.