Organization Active NPI

NW Pain Management and Rehabilitation Associates, Inc

  • Physical Medicine & Rehabilitation Physician
  • Burien, WA
National Provider Identifier
1497918536
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD00039410 Issued in WA
Legal business name
NW PAIN MANAGEMENT AND REHABILITATION ASSOCIATES, INC
Practice address
16110 8TH Ave SW
Suite B-1a
Burien, WA 98166-2962
Phone
(206) 518-6081
Fax
(206) 518-6084
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Michelle Zhong, MDNPI 1053486415
Title
Owner
Phone
(206) 518-6081

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 MD00039410 WA Primary

Addresses

Primary practice location

16110 8TH Ave SW
Suite B-1a
Burien, WA 98166-2962

Mailing address

Dept 1008
PO Box 34936
Seattle, WA 98124
Phone (206) 439-2988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000895 WA Part B Supplier - Clinic/Group Practice 6800961657 Receives reassigned benefits from 1 practitioner
Practice locations: Burien, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1094401NW Pain Management and Rehabilitation16110 8TH Ave SW Ste B-1a, Burien, WA 98166Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

16110 8th Ave SW
Ste B1-A
Burien, WA 98166
Phone (206) 518-6081

Practitioners & affiliated clinicians

Practitioners 3

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": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1497918536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 1008",
            "address_2": "PO BOX 34936",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98124",
            "telephone_number": "206-439-2988",
            "fax_number": "206-431-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 8TH AVE SW",
            "address_2": "SUITE B-1A",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662962",
            "telephone_number": "206-518-6081",
            "fax_number": "206-518-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW PAIN MANAGEMENT AND REHABILITATION ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "ZHONG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-518-6081",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00039410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.