Active NPI
Spokane Sports and Spine PLLC
- Physical Medicine & Rehabilitation Physician
- Spokane, WA
National Provider Identifier
1891748323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- SPOKANE SPORTS AND SPINE PLLC
- Practice address
- 507 S Washington St
Suite 10
Spokane, WA 99204-2604 - Phone
- (509) 242-6005
- NPI assigned
- May 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John F Long, DO
- Title
- Physician
- Phone
- (509) 242-6005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
507 S Washington St
Suite 10
Spokane, WA 99204-2604
Mailing address
507 S Washington St
Suite 10
Spokane, WA 99204-2604
National Provider Directory
National Provider DirectoryLocations
507 S Washington St
Ste 10
Spokane, WA 99204
Phone (509) 242-6002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891748323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S WASHINGTON ST",
"address_2": "SUITE 10",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S WASHINGTON ST",
"address_2": "SUITE 10",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042604",
"telephone_number": "509-242-6005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPOKANE SPORTS AND SPINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "509-242-6005",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.