Tri-Cities Regenerative Institute

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

TRI-CITIES REGENERATIVE INSTITUTE

Practice address

8905 W Gage Blvd Ste 100
Kennewick, WA 99336-7191

Phone

(509) 579-4300

NPI assigned

Jun 20, 2018

Last updated

Jun 20, 2018By 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

Mr. Ryan David Kiely, MS, LMHCNPI 1740607571

Title

Administrator

Phone

(509) 885-2844

Specialties & licenses 4

Addresses

Locations

Practitioners 2

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.

• Ryan Kiely, LMHC

  • Professional Counselor
  • Spokane, WA
  • NPI 1740607571
  Authorized official Same address or phone
• Thomas Lewis Kincheloe IV, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kennewick, WA
  • NPI 1962908004
  NPD (past)

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1487148680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 W GAGE BLVD STE 100",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367191",
            "telephone_number": "509-579-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 W GAGE BLVD STE 100",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367191",
            "telephone_number": "509-579-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES REGENERATIVE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "KIELY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-885-2844",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory, LLC
• Tri-Cities Laboratory, LLC
• Tri-Cities Primary Care
• Tri-Cities Vision Center
• Tri-City Derm Management Inc.
• Tri-City Neurology, Inc.
• Tri-City Orthopaedic Clinic P S C (The Surgery Center at TCO (Kennewick))
• Tri-City Orthopaedic Clinic, P S C

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.