Sprouts NW LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPROUTS NW LLC

Practice address

2824 Lindshier Ave
Bellingham, WA 98226-5613

Phone

(309) 236-9563

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Bryce Blaser, PTNPI 1679094650

Title

PT

Phone

(309) 236-9563

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryce Allen Blaser, DPT

  • Physical Therapist
  • Bellingham, WA
  • NPI 1679094650
  NPD (past) Authorized official

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1356957674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 LINDSHIER AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265613",
            "telephone_number": "309-236-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 LINDSHIER AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265613",
            "telephone_number": "309-236-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTS NW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "BLASER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "309-236-9563",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "PT60768573",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Melinda@freedombillingllc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2824 Lindshier Ave",
            "city": "Bellingham",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982265613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nathan Edward Sprague
• Taylor Christine Sprague, MA61496549
• Anne E Spreng
• Gabriel E Springsnow, LMP
• Sandra Jo Sproule, PT
• Spyglass Optik, P.S.
• Squalicum Surgical Associates, PLLC
• Eileen Mary Squires, OTRL
• Patrick Gerard Squires, O.D.
• Tibursious Ssendawula

• Physical Therapist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Therapist in Washington

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