Organization Active NPI

Opa Ortho PLLC

  • Orthopaedic Surgery Physician
  • Seattle, WA
National Provider Identifier
1821787334
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OPA ORTHO PLLC
Practice address
601 Broadway # 700
Seattle, WA 98122-5330
Phone
(206) 386-2600
Fax
(206) 622-1644
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Amanda J Price
Title
Operations Supervisor
Phone
(206) 518-6311

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

601 Broadway # 700
Seattle, WA 98122-5330

Mailing address

601 Broadway # 700
Seattle, WA 98122-5330
Phone (206) 386-2600

Other practice location 1

3216 NE 45th Pl Ste 304
Seattle, WA 98105-4028
Phone (206) 523-1422

Other practice location 2

900 Terry Ave Ste 100
Seattle, WA 98104-4231
Phone (206) 694-6665

Other practice location 3

20700 Bond Rd NE
Bldg B, Ste 103
Poulsbo, WA 98370-9099
Phone (206) 386-2600

Other practice location 4

3623 SW Alaska St
Seattle, WA 98126-2732
Phone (206) 386-2600

Other practice location 5

4455 148th Ave NE # B1
Bellevue, WA 98007-3120
Phone (206) 386-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230920000964 WA Part B Supplier - Clinic/Group Practice 7012371305 Receives reassigned benefits from 46 practitioners
Practice locations: Seattle, WA; Poulsbo, WA; Bellevue, WA; Issaquah, WA
O20231107001179 WA DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Multi-Specialty - Physician 7012371305 Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

4455 148th Ave NE
#B1
Bellevue, WA 98007
Phone (206) 518-6311

4455 148th Ave NE
Fl B1
Bellevue, WA 98007

4455 148th Ave NE
Ste B1
Bellevue, WA 98007

751 NE Blakely Dr
Fl 4
Issaquah, WA 98029
Phone (206) 991-2000

20700 Bond Rd NE
Ste B103
Poulsbo, WA 98370

900 Terry Ave
Ste 300
Seattle, WA 98104

601 Broadway
#700
Seattle, WA 98122
Phone (206) 622-2600

9709 3rd Ave NE
Fl 3
Seattle, WA 98115

601 Broadway
Fl 7
Seattle, WA 98122
Phone (206) 518-6311

Practitioners & affiliated clinicians

Practitioners 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1821787334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROADWAY # 700",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225330",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROADWAY # 700",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225330",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3216 NE 45th Pl Ste 304",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054028",
            "country_code": "US",
            "telephone_number": "206-523-1422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Terry Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981044231",
            "country_code": "US",
            "telephone_number": "206-694-6665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20700 Bond Rd NE",
            "address_2": "Bldg B, Ste 103",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983709099",
            "country_code": "US",
            "telephone_number": "206-386-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3623 SW Alaska St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981262732",
            "country_code": "US",
            "telephone_number": "206-386-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4455 148th Ave NE # B1",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073120",
            "country_code": "US",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OPA ORTHO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATIONS SUPERVISOR",
        "authorized_official_telephone_number": "206-518-6311"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.