Organization Active NPI

Integrative Spine & Body Medicine

  • Physical Medicine & Rehabilitation Physician
  • Lynnwood, WA
National Provider Identifier
1639260615
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
602555899 Issued in WA
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

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Susan Schmitt, MDNPI 1417048489
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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.