NPIMap

Organization Active NPI

Everett Spine & Rehab, PLLC

Doing business as Physical Rehabilitation & Wellness Center

  • Chiropractor
  • Everett, WA
National Provider Identifier
1295884781
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034156 Issued in WA
Legal business name
EVERETT SPINE & REHAB, PLLC
Doing business as
Physical Rehabilitation & Wellness Center
Practice address
927 128TH St SW
Ste B
Everett, WA 98204-6315
Phone
(425) 347-8614
Fax
(425) 348-6986
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Gurmit Singh Gill, D.C.NPI 1649329129
Title
Owner
Phone
(425) 347-8614

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
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00034156 WA Primary

Addresses

Primary practice location

927 128TH St SW
Ste B
Everett, WA 98204-6315

Mailing address

927 128TH St SW Ste B
Everett, WA 98204-6315
Phone (425) 347-8614

Other names 1

  • Physical Rehabilitation & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

927 128th St SW
Everett, WA 98204
Phone (425) 290-6967

927 128th St SW
#B
Everett, WA 98204
Phone (425) 347-8614

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1295884781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 128TH ST SW STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046315",
            "telephone_number": "425-347-8614",
            "fax_number": "425-348-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 128TH ST SW",
            "address_2": "STE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982046315",
            "telephone_number": "425-347-8614",
            "fax_number": "425-348-6986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT SPINE & REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "GURMIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-347-8614",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Rehabilitation & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.