New Athlete Inc

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

Legal business name

NEW ATHLETE INC

Practice address

7219 NE Highway 99
Suite 101
Vancouver, WA 98665-8878

Phone

(360) 567-0553

Fax

(360) 258-1531

NPI assigned

Jan 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Everett Paul, ARP THERAPIST

Title

Owner

Phone

(360) 567-0553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1295066140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 NE HIGHWAY 99",
            "address_2": "SUITE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98665",
            "telephone_number": "360-567-0553",
            "fax_number": "360-258-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 NE HIGHWAY 99",
            "address_2": "SUITE 101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658878",
            "telephone_number": "360-567-0553",
            "fax_number": "360-258-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ATHLETE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-567-0553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARP THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.