Northwest Spine & Sports Physicians

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

601873433 Issued in WA

Legal business name

NORTHWEST SPINE & SPORTS PHYSICIANS

Practice address

1750 112TH Ave NE
Suite D 258
Bellevue, WA 98004-3752

Phone

(425) 451-2272

Fax

(425) 451-1052

NPI assigned

Nov 17, 2006

Last updated

Jun 5, 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

Ms. Tina Marie Leavitt

Title

Operations Manager

Phone

(425) 451-2272

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• David E Spanier, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bellevue, WA
  • NPI 1295788255
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1992878763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "SUITE D 258",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "425-451-2272",
            "fax_number": "425-451-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "SUITE D 258",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "425-451-2272",
            "fax_number": "425-451-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SPINE & SPORTS PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "425-451-2272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "601873433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Physicians Laboratories
• Northwest Podiatry, PLLC
• Northwest Rehabilitation Associates, Inc., PS
• Northwest Solstice Counseling, PLLC
• Northwest Spine & Sports Physicians
• Northwest Surgical Development of Bellevue LLC (Athenix Body Sculpting Institute)
• Northwest Surgical of Bellevue
• Northwest Vision Institute, PLLC (Northwest Laser and Surgery Center)
• Northwest Vision Institute, PLLC
• Amanda Erin Norton, DNP, ARNP

• Physical Medicine & Rehabilitation Physician in Bellevue, WA
• Providers in Bellevue, 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 Jun 5, 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.