NPIMap

Organization Active NPI

Northern Cross, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Bellevue, WA
National Provider Identifier
1720111800
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
602178492 Issued in WA
Legal business name
NORTHERN CROSS, LLC
Practice address
12121 Northup Way Ste 203
Bellevue, WA 98005-1929
Phone
(425) 895-8436
Fax
(425) 895-8110
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Dr. Rocco H Nelson, D.C.NPI 1609934017
Title
Administrator
Phone
(425) 895-8436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 602178492 WA Primary

Addresses

Primary practice location

12121 Northup Way Ste 203
Bellevue, WA 98005-1929

Mailing address

12121 Northup Way Ste 203
Bellevue, WA 98005-1929
Phone (425) 895-8436

Other names 1

  • Northern Cross Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

12121 Northup Way
Ste 203
Bellevue, WA 98005
Phone (425) 895-8436

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1720111800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 NORTHUP WAY STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051929",
            "telephone_number": "425-895-8436",
            "fax_number": "425-895-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 NORTHUP WAY STE 203",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051929",
            "telephone_number": "425-895-8436",
            "fax_number": "425-895-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN CROSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "425-895-8436",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "WA",
            "license": "602178492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Cross Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.