Organization Active NPI

Sound Sport and Spine

  • Sports Physician Chiropractor
  • Port Orchard, WA
National Provider Identifier
1376276014
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
SOUND SPORT AND SPINE
Practice address
1730 SE Mile Hill Dr
Port Orchard, WA 98366-3512
Phone
(360) 386-1144
Fax
(360) 300-2700
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Authorized official

Name
Brandon Thomas Lester, DCNPI 1033657010
Title
Owner/ Chiropractic Physician
Phone
(360) 386-1144

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

1730 SE Mile Hill Dr
Port Orchard, WA 98366-3512

Mailing address

3119 Chive PL SE
Port Orchard, WA 98366-2321
Phone (360) 386-1144

Other identifiers 1

IdentifierTypeStateIssuer
1033657010OtherWAINDIVIDUAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.lester@soundsportspine.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220830004108 WA Part B Supplier - Clinic/Group Practice 7315321965 Receives reassigned benefits from 1 practitioner
Practice locations: Port Orchard, WA

National Provider Directory

National Provider Directory

Locations

1730 SE Mile Hill Dr
#100
Port Orchard, WA 98366
Phone (360) 287-4662

1180 Bethel Ave
Ste 110
Port Orchard, WA 98366
Phone (360) 386-1144

Practitioners & affiliated clinicians

Practitioners 1

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": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1376276014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 CHIVE PL SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662321",
            "telephone_number": "360-386-1144",
            "fax_number": "360-300-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SE MILE HILL DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663512",
            "telephone_number": "360-386-1144",
            "fax_number": "360-300-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND SPORT AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "360-386-1144",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1033657010",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.lester@soundsportspine.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1730 SE Mile Hill Dr",
            "city": "Port Orchard",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983663512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.