Ideal Motion Spine and Sports Therapy

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CH60271312 Issued in WA

Legal business name

IDEAL MOTION SPINE AND SPORTS THERAPY

Practice address

621 5TH Ave N Ste a
Seattle, WA 98109-4241

Phone

(206) 858-6667

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Zachary Zugschwerdt, D.C., CCSP

Title

Owner

Phone

(206) 858-6667

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689198202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 5TH AVE N STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094241",
            "telephone_number": "206-858-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 5TH AVE N STE A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094241",
            "telephone_number": "206-858-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL MOTION SPINE AND SPORTS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZUGSCHWERDT",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-858-6667",
        "authorized_official_credential": "D.C., CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CH60271312",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60293770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.