NPIMap

Organization Active NPI

NW Sports Rehab, Corp.

Doing business as NW Sports Rehab

  • Acupuncturist
  • Federal Way, WA
National Provider Identifier
1679698518
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
NW SPORTS REHAB, CORP.
Doing business as
NW Sports Rehab
Practice address
33400 13TH PL S
Federal Way, WA 98003-6357
Phone
(253) 838-6070
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Ming Ming Audrey Su-Brown, DC, LAC
Title
Owner
Phone
(253) 838-6070

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X WA
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X WA

Addresses

Primary practice location

33400 13TH PL S
Federal Way, WA 98003-6357

Mailing address

33400 13TH PL S
Federal Way, WA 98003-6357
Phone (253) 838-6070

Other identifiers 2

IdentifierTypeStateIssuer
DD7854OtherWAGROUP RAILROAD MEDICARE
158881OtherWAGROUP L & I

Other names 1

  • NW Sports Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040320000229 WA Part B Supplier - Clinic/Group Practice 1658262795 Receives reassigned benefits from 7 practitioners
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

33400 13th Pl S
Federal Way, WA 98003
Phone (253) 838-6070

4809 Wa Tau Ga Ave NE
Tacoma, WA 98422
Phone (253) 925-0806

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679698518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33400 13TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036357",
            "telephone_number": "253-838-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33400 13TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036357",
            "telephone_number": "253-838-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW SPORTS REHAB, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SU-BROWN",
        "authorized_official_first_name": "MING MING",
        "authorized_official_middle_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-838-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, LAC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILROAD MEDICARE",
            "identifier": "DD7854",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP L & I",
            "identifier": "158881",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NW Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.