Organization Active NPI

Pain & Injury Clinic PS

  • Physical Medicine & Rehabilitation Physician
  • Renton, WA
National Provider Identifier
1750671822
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
602972064 Issued in WA
Legal business name
PAIN & INJURY CLINIC PS
Practice address
330 SW 43Rd St
Renton, WA 98057-4900
Phone
(425) 251-9900
Fax
(425) 251-9909
NPI assigned
Apr 11, 2011
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Kaya Hasanoglu, MDNPI 1972572667
Title
Owner
Phone
(425) 251-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 602972064 WA Primary

Addresses

Primary practice location

330 SW 43Rd St
Renton, WA 98057-4900

Mailing address

PO Box 60164
Renton, WA 98058-3164
Phone (425) 251-9900

National Provider Directory

National Provider Directory

Locations

330 SW 43rd St
Renton, WA 98057
Phone (425) 251-9900

330 SW 43rd St
Ste D
Renton, WA 98057
Phone (425) 251-9900

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1750671822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60164",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980583164",
            "telephone_number": "425-251-9900",
            "fax_number": "425-251-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574900",
            "telephone_number": "425-251-9900",
            "fax_number": "425-251-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & INJURY CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "HASANOGLU",
        "authorized_official_first_name": "KAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-251-9900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "602972064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.