Active NPI
Integrative Spine & Body Medicine
- Physical Medicine & Rehabilitation Physician
- Lynnwood, WA
National Provider Identifier
1639260615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 602555899
- Legal business name
- INTEGRATIVE SPINE & BODY MEDICINE
- Practice address
- 19401 40TH Ave W
Suite 140
Lynnwood, WA 98036-4612 - Phone
- (425) 771-8161
- Fax
- (425) 771-7929
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Schmitt, MD
- Title
- Owner
- Phone
- (425) 771-8161
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 602555899 | WA | Primary |
Addresses
Primary practice location
19401 40TH Ave W
Suite 140
Lynnwood, WA 98036-4612
Mailing address
19401 40TH Ave W
Suite 140
Lynnwood, WA 98036-4612
Phone (425) 771-8161
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Portland, OR
- NPI 1417048489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219190400000",
"number": "1639260615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 40TH AVE W",
"address_2": "SUITE 140",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364612",
"telephone_number": "425-771-8161",
"fax_number": "425-771-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 40TH AVE W",
"address_2": "SUITE 140",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364612",
"telephone_number": "425-771-8161",
"fax_number": "425-771-7929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE SPINE & BODY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-08-20",
"status": "A",
"authorized_official_last_name": "SCHMITT",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-771-8161",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "602555899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.