Work Injury Medicine, LTD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD60076501 Issued in WA

Legal business name

WORK INJURY MEDICINE, LTD

Practice address

2618 S Park Dr
Bellingham, WA 98225-2524

Phone

(360) 734-3634

NPI assigned

May 30, 2015

Last updated

May 30, 2015By 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

Niles Roberts, M.D.

Title

Ceo

Phone

(360) 920-9462

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432944000000",
    "number": "1992185441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2602",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982272602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 S PARK DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252524",
            "telephone_number": "360-734-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORK INJURY MEDICINE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-05-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "NILES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-920-9462",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD60076501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodway Investors LLC (Woodway Assisted Living)
• Mishon Aileen Wooldridge, LMP
• Darla I. Woolman, P.A.-C
• Kayla Ann Marie Wooten
• Jasmin Rose Worden
• Work Opportunities Inc
• Christine Elise Worsley, CCC-SLP
• Gabrielle Worzella, DO
• Melissa Stephanie Wray
• Ellery Wren, LPC

• Physical Medicine & Rehabilitation Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; 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.