NPIMap

Organization Active NPI

Northwest Surgical Specialists PC

Doing business as Rebound Physical Therapy Salmon Creek

  • Durable Medical Equipment & Medical Supplies
  • Vancouver, WA
National Provider Identifier
1821510306
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHWEST SURGICAL SPECIALISTS PC
Practice address
2121 NE 139TH St Ste 325
Vancouver, WA 98686-2319
Phone
(360) 254-6161
NPI assigned
Jul 17, 2017
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST SURGICAL SPECIALISTS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Dr. Michael R Fraser Jr., MDNPI 1992868954
Title
Owner
Phone
(360) 254-6161

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

2121 NE 139TH St Ste 325
Vancouver, WA 98686-2319

Mailing address

200 NE Mother Joseph PL Ste 210
Vancouver, WA 98664-3295
Phone (360) 254-6161

Other names 1

  • Rebound Physical Therapy Salmon Creek Other name

National Provider Directory

National Provider Directory
Part of
Northwest Surgical Spec

Locations

720 W Main St
Ste 102
Battle Ground, WA 98604

55 S 47th Ave
Ste 111
Ridgefield, WA 98642

100 E 33rd St
Ste 100B
Vancouver, WA 98663

200 NE Mother Joseph Pl
#1200
Vancouver, WA 98664

315 NE 192nd Ave
Ste 310B
Vancouver, WA 98684

3205 SE 192nd Ave
Ste 105
Vancouver, WA 98683

Practitioners & affiliated clinicians

Practitioners 114

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.

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1821510306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE MOTHER JOSEPH PL STE 210",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643295",
            "telephone_number": "360-254-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NE 139TH ST STE 325",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862319",
            "telephone_number": "360-254-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SURGICAL SPECIALISTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST SURGICAL SPECIALISTS PC",
        "enumeration_date": "2017-07-17",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "FRASER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-254-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REBOUND PHYSICAL THERAPY SALMON CREEK",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rebound Physical Therapy Salmon Creek",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.