Pacific Rehabilitation & Sports Medicine Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PACIFIC REHABILITATION & SPORTS MEDICINE INC

Practice address

12500 Aurora Ave N
Ste C
Seattle, WA 98133-1518

Phone

(206) 524-6916

NPI assigned

May 9, 2006

Last updated

Mar 11, 2008By 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

Michael Tarvin

Title

Vice President

Phone

(717) 975-4503

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Daniel Cruz Mendiola, OTRL, CHT

  • Hand Occupational Therapist
  • Olympia, WA
  • NPI 1730380841
  NPD (past)
• Janet Spaeth

  • Occupational Therapist
  • Seattle, WA
  • NPI 1750496691
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1952350688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 AURORA AVE N",
            "address_2": "STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331518",
            "telephone_number": "206-524-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 AURORA AVE N",
            "address_2": "STE C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331518",
            "telephone_number": "206-524-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC REHABILITATION & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "TARVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-975-4503"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.