Organization Active NPI

Prohealth Medical

  • Physical Medicine & Rehabilitation Physician
  • Bellevue, WA
National Provider Identifier
1982554341
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
PROHEALTH MEDICAL
Practice address
14645 NE Bel Red Rd Ste 103
Bellevue, WA 98007-3929
Phone
(425) 502-8098
Fax
(866) 521-0472
NPI assigned
Feb 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Jena Rivers, MDNPI 1730124231
Title
Owner/Lead Physician
Phone
(206) 963-6500

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

14645 NE Bel Red Rd Ste 103
Bellevue, WA 98007-3929

Mailing address

2623 E Helen St
Seattle, WA 98112-3619
Phone (425) 502-8098

National Provider Directory

National Provider Directory

Locations

14645 NE Bel Red Rd
Ste 103
Bellevue, WA 98007
Phone (425) 502-8098

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1982554341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 E HELEN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123619",
            "telephone_number": "425-502-8098",
            "fax_number": "866-521-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14645 NE BEL RED RD STE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073929",
            "telephone_number": "425-502-8098",
            "fax_number": "866-521-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "JENA",
        "authorized_official_title_or_position": "OWNER/LEAD PHYSICIAN",
        "authorized_official_telephone_number": "206-963-6500",
        "authorized_official_credential": "MD"
    },
    "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 Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.