Hybrid Chiropractic Sports Rehab

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

60630792 Issued in WA

Legal business name

HYBRID CHIROPRACTIC SPORTS REHAB

Practice address

19031 33Rd Ave W
315
Lynnwood, WA 98036-4731

Phone

(425) 971-1942

NPI assigned

Mar 17, 2017

Last updated

Mar 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jayson Adam Sipress, DCNPI 1023478534

Title

Owner

Phone

(425) 971-1942

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jayson Adam Sipress, DC

  • Sports Physician Chiropractor
  • Lynnwood, WA
  • NPI 1023478534
  Authorized official Same address or phone

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1699216150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19031 33RD AVE W",
            "address_2": "315",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364731",
            "telephone_number": "425-971-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19031 33RD AVE W",
            "address_2": "315",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364731",
            "telephone_number": "425-971-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYBRID CHIROPRACTIC SPORTS REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "SIPRESS",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-971-1942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "60630792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thai-Hoa Le Huynh, DDS
• Tina Phuong Huynh, RPH
• Jacob Hvass
• Jong Ok Hwang, B.S
• Seol Ryu Hwang
• Ivan D Hyde, O.D.
• Hyuk Yang Professional Services (Lynnwood Dental Care)
• Hyun S Park PS Corp
• Peter Y Hyun, PH60954425
• I-Care Geriatric Health Solutions

• Sports Physician Chiropractor in Lynnwood, WA
• Providers in Lynnwood, 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 Mar 17, 2017; 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.