NPIMap

Organization Active NPI

Renton Spine and Sports Medicine LLC

  • Physical Medicine & Rehabilitation Physician
  • Renton, WA
National Provider Identifier
1407324304
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
RENTON SPINE AND SPORTS MEDICINE LLC
Practice address
1000 Oakesdale Ave SW Ste 100
Renton, WA 98057-5202
Phone
(425) 800-9757
NPI assigned
Nov 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Authorized official

Name
Kyle OsborneNPI 1639581424
Title
Owner
Phone
(425) 773-9586

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1000 Oakesdale Ave SW Ste 100
Renton, WA 98057-5202

Mailing address

1000 Oakesdale Ave SW Ste 100
Renton, WA 98057-5202

Other names 1

  • seattle spine and sports medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Oakesdale Ave SW
Ste 100
Renton, WA 98057
Phone (425) 800-9757

Practitioners & affiliated clinicians

Practitioners 5

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": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1407324304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 OAKESDALE AVE SW STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 OAKESDALE AVE SW STE 100",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575202",
            "telephone_number": "425-800-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENTON SPINE AND SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-773-9586"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "seattle spine and sports medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.