PROFESSIONAL RECREATION ORGANIZATION, INC. (NPI# 1144708819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144708819 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL RECREATION ORGANIZATION, INC. |
| Practice Address |
4455 148th Ave Ne Bellevue WA 98007-3120 |
| Practice Telephone | 4258956575 |
| Mailing Telephone | 4258956575 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | MELISSA BURGESS (MEDICAL BILLING SUPERVISOR) |
| Authorized Official Telephone | 4258956575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
60054108 | WA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
| 1245726538 | Professional Recreation Organization, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1508352881 | Professional Recreation Organization, Inc. | Obstetrics & Gynecology | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1861918518 | Professional Recreation Organization, Inc. | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| 1780100438 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| 1689194359 | Professional Recreation Organization, Inc. | Acupuncturist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-06-23 |
| 1063959427 | Professional Recreation Organization, Inc. | Naturopath | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-01-24 |
| 1235575861 | Professional Recreation Organization, Inc. | Psychologist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2013-05-22 |
| 1619213915 | Professional Recreation Organization, Inc. | Orthopaedic Surgery | 4455 148th Ave Ne, Bellevue, WA 98007 | 2012-12-14 |
| 1558488023 | Professional Recreation Organization, Inc. | Dietitian, Registered | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROFESSIONAL RECREATION ORGANIZATION, INC. | 4455 148th Ave Ne, Bellevue, WA 98007-3120 |
| Street Address |
4455 148TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137892 | Pierce Edward Scranton Jr. | Orthopaedic Surgery | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2006-06-03 |
| 1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
| 1821634924 | Lily Irene Nealon | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2019-11-23 |
| 1841840436 | Galina Borisovna Riabinina | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2019-09-16 |
| 1023663416 | Micah Jeremiah Armbrust | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2019-08-03 |
| 1245726538 | Professional Recreation Organization, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1508352881 | Professional Recreation Organization, Inc. | Obstetrics & Gynecology | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1871080945 | Madeline Erin Kilpatrick | Social Worker | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-04-15 |
| 1710496674 | Threasa Andrys | Naturopath | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-09-22 |
| 1861918518 | Professional Recreation Organization, Inc. | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970117 | Northwest Surgical Development of Bellevue LLC | Clinic/Center | 636 120th Ave Ne Ste 202, Bellevue, WA 98005-3028 | 2014-07-15 |
| 1760808836 | Overlake Reproductive Health Inc Ps. | Clinic/Center | 11232 Ne 15th St, Suite 201, Bellevue, WA 98004-3739 | 2014-03-12 |
| 1265614523 | Sam Naficy, Md, Ps, Inc | Clinic/Center | 1110 112th Ave Ne, Suite 150, Bellevue, WA 98004-4509 | 2007-11-28 |
| 1104931039 | Bellegrove Ob/gyn, Inc. Ps | Clinic/Center | 1200 112th Ave Ne Ste C115, Bellevue, WA 98004-3745 | 2006-08-20 |
| 1992702443 | The Eastside Endoscopy Center LLC | Clinic/Center | 1135 116th Ave Ne, Suite 570, Bellevue, WA 98004-4623 | 2005-06-30 |
| 1538769302 | Spine Solutions of Green Bay LLC | Clinic/Center | 2595 Development Dr Ste 150, Bellevue, WI 54311-4288 | 2020-10-29 |
| 1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
| 1366884835 | Renaissance Center | Clinic/Center | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2013-07-24 |
| 1699112144 | Christine E Nygaard, M.d., P.s. | Clinic/Center | 1414 116th Ave Ne Ste C, Bellevue, WA 98004-3801 | 2013-05-23 |
| 1083955330 | Bellevue Plastic Surgery Center | Clinic/Center | 10047 Main St, Suite 103, Bellevue, WA 98004-6019 | 2013-03-12 |
| Find all providers in BELLEVUE | ||||
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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.