Stemwave Northwest PLLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

STEMWAVE NORTHWEST PLLC

Practice address

9500 Roosevelt Way NE Ste 302
Seattle, WA 98115-2253

Phone

(206) 409-9447

Fax

(904) 785-7798

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Connie Amundson, DC

Title

Co-Owner

Phone

(206) 409-9447

Specialties & licenses 4

Addresses

Other names 1

• Lifetime Wellness Center NW Doing business as

Locations

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1649985466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 ROOSEVELT WAY NE STE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152253",
            "telephone_number": "206-409-9447",
            "fax_number": "904-785-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 ROOSEVELT WAY NE STE 302",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152253",
            "telephone_number": "206-409-9447",
            "fax_number": "904-785-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEMWAVE NORTHWEST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "206-409-9447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "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": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Wellness Center NW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Rose Stelzer, RDN
• April Stempien-Otero, MD
• Blayne D Stemple
• Hannah Stemple
• Patrick Henry Stempski, LCPO
• Daniel Lloyd Stenberg, DO
• Jonathan Michael Stenberg, LPN
• Naomi Susanne Stenberg, MA, RC
• Danny Owen Stene, PHD, MD
• Sara M Stenersen, LMFT

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.