Organization Active NPI

Spokane Sports and Spine PLLC

  • Physical Medicine & Rehabilitation Physician
  • Spokane, WA
National Provider Identifier
1891748323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.