Northwest Spine & Sports Physicians

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD00033845 Issued in WA

Legal business name

NORTHWEST SPINE & SPORTS PHYSICIANS

Practice address

1750 112TH Ave NE
Ste D-258
Bellevue, WA 98004-3752

Phone

(425) 451-2272

Fax

(452) 451-1052

NPI assigned

May 16, 2006

Last updated

Aug 22, 2020By 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

Sarah Mayberry

Title

Clinical Staff Manager

Phone

(452) 451-2272

Specialties & licenses 1

Addresses

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.

• Andrew J Cole, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bellevue, WA
  • NPI 1730135484
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326090721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "STE D-258",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "425-451-2272",
            "fax_number": "452-451-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "STE D-258",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "425-451-2272",
            "fax_number": "452-451-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SPINE & SPORTS PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CLINICAL STAFF MANAGER",
        "authorized_official_telephone_number": "452-451-2272"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00033845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Physical Medicine PS
• Northwest Physicians Laboratories
• Northwest Podiatry, PLLC
• Northwest Rehabilitation Associates, Inc., PS
• Northwest Solstice Counseling, PLLC
• Northwest Spine & Sports Physicians
• Northwest Surgical Development of Bellevue LLC (Athenix Body Sculpting Institute)
• Northwest Surgical of Bellevue
• Northwest Vision Institute, PLLC (Northwest Laser and Surgery Center)
• Northwest Vision Institute, PLLC

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

• 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.