Active NPI
Rac Sports Performance
- Physical Therapist
- Tacoma, WA
National Provider Identifier
1639984677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RAC SPORTS PERFORMANCE
- Practice address
- 819 Pacific Ave
Tacoma, WA 98402-5209 - Phone
- (206) 519-0135
- NPI assigned
- Feb 7, 2025
- 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
- Kevin Vandenbosch
- Title
- Manager
- Phone
- (206) 519-0135
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Nutritionist | 133N00000X | |||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | |||
| Physical Therapist | 225100000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
819 Pacific Ave
Tacoma, WA 98402-5209
Mailing address
819 Pacific Ave
Tacoma, WA 98402-5209
Phone (206) 519-0135
Other practice location 1
2033 6th Ave Ste 308
Seattle, WA 98121-2566
Phone (206) 519-0135
National Provider Directory
National Provider DirectoryLocations
2033 6th Ave
Ste 308
Seattle, WA 98121
Phone (206) 519-0135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738886400000",
"number": "1639984677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 PACIFIC AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984025209",
"telephone_number": "206-519-0135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 PACIFIC AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984025209",
"telephone_number": "206-519-0135"
}
],
"practiceLocations": [
{
"address_1": "2033 6th Ave Ste 308",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981212566",
"country_code": "US",
"telephone_number": "206-519-0135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RAC SPORTS PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A",
"authorized_official_last_name": "VANDENBOSCH",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "206-519-0135"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.