Columbia Point Sports Rehabilitation Clinic Corp

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003365 Issued in WA

Legal business name

COLUMBIA POINT SPORTS REHABILITATION CLINIC CORP

Practice address

408 S 2ND St
Yakima, WA 98901-2816

Phone

(509) 452-0738

Fax

(509) 452-0743

NPI assigned

Dec 10, 2007

Last updated

Jul 6, 2020By 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

Gerald Paul Moran, DCNPI 1396878849

Title

Chiropractor

Phone

(509) 452-0738

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Gerald Paul Moran, D.C.

  • Chiropractor
  • Yakima, WA
  • NPI 1396878849
  Authorized official Same address or phone
• Sandra Moran, RDH

  • Dental Hygienist
  • Spokane, WA
  • NPI 1245966449
  NPD
• Jorge Antonio Barrientos-Lopez, D.C.

  • Chiropractor
  • Yakima, WA
  • NPI 1033455548
  NPD (past)
• Tuan Taylor Thanh Tran, D.C.

  • Chiropractor
  • Yakima, WA
  • NPI 1578930491
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1790968188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S 2ND ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012816",
            "telephone_number": "509-452-0738",
            "fax_number": "509-452-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S 2ND ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012816",
            "telephone_number": "509-452-0738",
            "fax_number": "509-452-0743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8033 W Grandridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993367159",
            "country_code": "US",
            "telephone_number": "509-783-2225",
            "fax_number": "509-783-1898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLUMBIA POINT SPORTS REHABILITATION CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-452-0738",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0229212",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan E Colleran, NP
• Alister S Collins, MD
• Brenda J Collins, M.S.R.D.
• Dianna Collins, APRN
• Don Richard Colton, D.D.S.
• Vern Dean Commet, ARNP
• Community Birth Group
• Community Health of Central Washington (Davis Health Clinic)
• Community Health of Central Washington (Yakima Pediatrics)
• Community Health of Central Washington

• Chiropractor in Yakima, WA
• Providers in Yakima, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.