NPIMap

Organization Active NPI

Seattle Spine & Rehabilitation Medicine PS

Doing business as Seattle Spine & Rehabilitation Medicine

  • Rehabilitation Practitioner
  • Seattle, WA
National Provider Identifier
1578711677
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
MD00031281 Issued in WA
Legal business name
SEATTLE SPINE & REHABILITATION MEDICINE PS
Doing business as
Seattle Spine & Rehabilitation Medicine
Practice address
3213 Eastlake Ave E
Suite A1
Seattle, WA 98102-7127
Phone
(206) 861-8200
NPI assigned
Sep 3, 2008
Last updated
Dec 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

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

Authorized official

Name
Richard E Seroussi, M.D.NPI 1992722698
Title
Medical Doctor
Phone
(206) 861-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X MD00031281 WA Primary

Addresses

Primary practice location

3213 Eastlake Ave E
Suite A1
Seattle, WA 98102-7127

Mailing address

3213 Eastlake Avenue East
Suite A1
Seattle, WA 98102-7127
Phone (206) 861-8200

Other names 1

  • Seattle Spine & Rehabilitation Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

3213 Eastlake Ave E
Ste A1
Seattle, WA 98102
Phone (206) 861-8200

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1578711677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 EASTLAKE AVENUE EAST",
            "address_2": "SUITE A1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981027127",
            "telephone_number": "206-861-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 EASTLAKE AVE E",
            "address_2": "SUITE A1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981027127",
            "telephone_number": "206-861-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE SPINE & REHABILITATION MEDICINE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "SEROUSSI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "206-861-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "WA",
            "license": "MD00031281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seattle Spine & Rehabilitation Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.