Individual provider Active NPI

Robert Hamre, ATC

  • Athletic Trainer
  • Everett, WA
National Provider Identifier
1700998499
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
60077152 Issued in WA
Practice address
2000 Hewitt Ave
Suite 115
Everett, WA 98201
Phone
(425) 252-3908
Fax
(425) 252-7940
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 60077152 WA Primary

Addresses

Primary practice location

2000 Hewitt Ave
Suite 115
Everett, WA 98201

Mailing address

2205 Wall St
Everett, WA 98201-3761
Phone (425) 512-8695

Other practice location 1

2000 Hewitt Ave
Suite 115
Everett, WA 98201-3600
Phone (425) 252-3908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60077152WAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Engineered Sports 2 PLLC CurrentSince Dec 6, 2020 Accepting new patients
Kent Physical Therapy & Sports Performance Center LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

2205 Wall St
Everett, WA 98201
Phone (425) 512-8695

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1700998499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WALL ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013761",
            "telephone_number": "425-512-8695",
            "fax_number": "425-512-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HEWITT AVE",
            "address_2": "SUITE 115",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-252-3908",
            "fax_number": "425-252-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hewitt Ave",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013600",
            "country_code": "US",
            "telephone_number": "425-252-3908",
            "fax_number": "425-252-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMRE",
        "first_name": "ROBERT",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "60077152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.