PROLIANCE SURGEONS, INC., P.S. (NPI# 1104474808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104474808 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | PROLIANCE SPORTS THERAPY AND REHAB OF BELLEVUE |
| Practice Address |
1231 116th Ave Ne Ste 755 Bellevue WA 98004-3804 |
| Mailing Address |
510 8th Ave Ne Ste 320 Issaquah WA 98029-5436 |
| Practice Telephone | 4254625006 |
| Practice Fax Number | 4254625019 |
| Mailing Telephone | 4255070733 |
| Mailing Fax Number | 4252835551 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-09-14 |
| Authorized Official Name | MR. KENNETH G. OVERBEY (COO) |
| Authorized Official Telephone | 2068382583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Proliance Sports Therapy and Rehab of Bellevue | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418189 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 | 2020-08-19 |
| 1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
| 1417512021 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 1620 Lake Tapps Pkwy Se Ste 115, Auburn, WA 98092-8376 | 2019-05-08 |
| 1205307253 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 901 Boren Ave Ste 711, Seattle, WA 98104-3301 | 2018-12-16 |
| 1972073799 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 150 Andover Park W, Tukwila, WA 98188-2801 | 2018-12-05 |
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1184140477 | Proliance Surgeons, Inc., P.s. | Radiology | 6808 220th St Sw Ste 105, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1255736971 | Proliance Surgeons, Inc., P.s. | Surgery | 1519 3rd St Se Ste 210, Puyallup, WA 98372-3742 | 2014-10-23 |
| 1467883116 | Proliance Surgeons, Inc., P.s. | Physical Medicine & Rehabilitation | 1017 20th St, Anacortes, WA 98221-2505 | 2013-12-06 |
| 1427356211 | Proliance Surgeons, Inc., P.s. | Physical Medicine & Rehabilitation | 2720 Commercial Ave, Anacortes, WA 98221-2750 | 2011-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROLIANCE SURGEONS, INC., P.S. | 805 Madison St Ste 901, Seattle, WA 98104-1172 |
| Washington State Corporations | PROLIANCE SURGEONS, INC., P.S. | 805 Madison St Ste 901, Seattle, WA 98104-1172 |
| Street Address |
1231 116TH AVE NE STE 755 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598032815 | Washington Therapy Group, Inc | Occupational Therapist | 1810 116th Ave Ne Ste D-4, Bellevue, WA 98004-3058 | 2011-12-01 |
| 1598110603 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2016-04-26 |
| 1659662401 | Washington Therapy Group, Inc. | Occupational Therapist | 11711 Ne 12th St, Suite 2a, Bellevue, WA 98005-2461 | 2011-04-28 |
| 1255639878 | Washington Therapy Group, Inc. | Occupational Therapist | 1900 116th Ave Ne, Suite 200, Bellevue, WA 98004-3052 | 2011-03-07 |
| 1831492537 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2010-12-19 |
| 1598945578 | Kristin M. Rosen | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2007-11-07 |
| 1013119379 | Deborah Ann Mazza | Occupational Therapist | 1200 112th Ave Ne, Suite C260, Bellevue, WA 98004-3732 | 2007-05-31 |
| 1235297607 | Karan A Dennis | Occupational Therapist | 14100 Se 36th St, Ste. 210, Bellevue, WA 98006-1657 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255805271 | Karen Sziel Otr/l, Cht, LLC | Occupational Therapist | 144 Railroad Ave Ste 310, Edmonds, WA 98020-4100 | 2019-01-12 |
| 1811439425 | Caitlin Corinne Snowden | Occupational Therapist | 833 K St, Washougal, WA 98671-1138 | 2016-11-14 |
| 1972914752 | Puget Sound Hand Therapy & Structural Medicine | Occupational Therapist | 1818 S Union Ave Ste 1b, Tacoma, WA 98405-1953 | 2014-05-14 |
| 1942641147 | Ret Sunrise Physical Therapy Pllc | Occupational Therapist | 17528 Meridian E Ste 205, Puyallup, WA 98375-6286 | 2013-07-16 |
| 1548416001 | Integrated Rehabilitation Group PC | Occupational Therapist | 3732 Colby Ave, Everett, WA 98201-4911 | 2008-08-14 |
| 1720299621 | Jarod Frederick Mann | Occupational Therapist | 303 S F St, Aberdeen, WA 98520-1099 | 2007-05-24 |
| 1467582320 | Eastside Hand Rehabilitation Clinic Inc | Occupational Therapist | 12911-120th Ave Ne, Suite F-120, Kirkland, WA 98034-3025 | 2007-03-07 |
| 1073663522 | Elizabeth A Duran | Occupational Therapist | 601 W 5th Ave Ste 304, Spokane, WA 99204-2714 | 2007-01-10 |
| 1538231113 | Mitchell Hisao Suzawa | Occupational Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2006-11-15 |
| 1164501268 | Alex G. Bartl | Occupational Therapist | 805 W Orchard Dr Ste 2, Bellingham, WA 98225-1759 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.