Organization Active NPI

Ipp, PC

Doing business as Institute for Minimally Invasive Spine Medicine and Surgery

  • Physical Therapy Clinic/Center
  • Bothell, WA
National Provider Identifier
1285781468
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
IPP, PC
Doing business as
Institute for Minimally Invasive Spine Medicine and Surgery
Practice address
1629 220TH St SE
Suite 120
Bothell, WA 98021-8466
Phone
(425) 939-5196
Fax
(425) 939-5193
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Solomon Kamson, M.D.
Title
President
Phone
(425) 486-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X WA Primary

Addresses

Primary practice location

1629 220TH St SE
Suite 120
Bothell, WA 98021-8466

Mailing address

PO Box 100
Bothell, WA 98041-0100
Phone (425) 939-5196

Other identifiers 1

IdentifierTypeStateIssuer
0174250OtherWASTATE LABOR & INDUSTRIES

Other names 1

  • Institute for Minimally Invasive Spine Medicine and Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

1629 220th St SE
Ste 120
Bothell, WA 98021
Phone (425) 939-5196

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285781468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980410100",
            "telephone_number": "425-939-5196",
            "fax_number": "425-939-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 220TH ST SE",
            "address_2": "SUITE 120",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218466",
            "telephone_number": "425-939-5196",
            "fax_number": "425-939-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAMSON",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-486-1000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LABOR & INDUSTRIES",
            "identifier": "0174250",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Institute for Minimally Invasive Spine Medicine and Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.