REBOOT CENTER FOR INNOVATIVE MEDICINE (NPI# 1366711624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366711624 |
| Entity Type | Organization |
| Organization Name | REBOOT CENTER FOR INNOVATIVE MEDICINE |
| Practice Address |
5548 Myrtle Ave Suite 202 Freeland WA 98249-8776 |
| Mailing Address |
Po Box 554 Freeland WA 98249-0554 |
| Practice Telephone | 3603312464 |
| Practice Fax Number | 8662777173 |
| Mailing Telephone | 3603312464 |
| Mailing Fax Number | 8662777173 |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | DR. JENNIFER V SCHIAVONE-RUTHENSTEINER (OWNER/MANAGER) |
| Authorized Official Telephone | 3603312464 |
| Authorized Official Credential | N.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
NT00001312 | WA | Ambulatory Health Care Facilities |
| Street Address |
5548 MYRTLE AVE SUITE 202 |
| City | FREELAND |
| State | WA |
| Zip Code | 98249-8776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083680201 | Thomas Harris | Family Medicine | 5548 Myrtle Ave, #201, Freeland, WA 98249 | 2006-02-27 |
| 1003364829 | Rebecca Peterson | Counselor | 5548 Myrtle Ave, Freeland, WA 98249-8776 | 2016-09-21 |
| 1003261991 | Whidbey Island Therapy Center | Marriage & Family Therapist | 5548 Myrtle Ave, Ste 101, Freeland, WA 98249-8776 | 2016-04-27 |
| 1245677632 | Jennifer Lynn Tuttle | Naturopath | 5548 Myrtle Ave, Ste 202, Freeland, WA 98249-8776 | 2013-05-27 |
| 1457472581 | Jennifer Valia Schiavone-ruthensteiner | Naturopath | 5548 Myrtle Ave, Ste 202, Freeland, WA 98249-8776 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470420 | Whidbey Medical Equipment Supply LLC | Durable Medical Equipment & Medical Supplies | 1705 Main Street, Freeland, WA 98249 | 2020-06-05 |
| 1679029284 | Theresa Marie Leonard | Pharmacist | 1409 East Main Street, Freeland, WA 98249 | 2016-09-01 |
| 1255717468 | Leonardo Franzese | Naprapath | 5492 S Myrtle Avenue, Freeland, WA 98249 | 2015-08-11 |
| 1356748255 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1609 East Main Street, Freeland, WA 98249 | 2014-11-21 |
| 1417373960 | Mary Roberts | Counselor | 1659 Layton Rd, Freeland, WA 98249 | 2014-03-07 |
| 1275958142 | Kerry Elizabeth Kurtz | Massage Therapist | 5565 Lotto Ave, Freeland, WA 98249 | 2014-02-28 |
| 1235471897 | Allison Blackwell | Physical Therapist | 5522 S. Freeland Ave, Freeland, WA 98249 | 2013-03-21 |
| 1295074672 | Elizabeth Lesure | Massage Therapist | Island Athletic Club, Freeland Ave. At Hwy. 525, Freeland, WA 98249 | 2013-02-05 |
| 1568727386 | Tonah Leigh Potter | Speech-Language Pathologist | 5508 Harbor Avenue, Freeland, WA 98249 | 2012-07-09 |
| 1881977148 | Harbor Physical Therapy and Wellness Clinic | Physical Therapist | 5508 Harbor Ave, Freeland, WA 98249 | 2011-09-23 |
| Find all providers in zip 98249 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326676818 | Nocd Washington PC | Clinic/Center | 2320 130th Ave Ne Ste 110, Bellevue, WA 98005-1752 | 2020-03-30 |
| 1922635887 | Cascade Nurse Practitioners | Clinic/Center | 5409 100th St Sw Unit 39800, Lakewood, WA 98496-0970 | 2020-03-23 |
| 1942735667 | The Evergreen At Northpoint | Clinic/Center | 2111 N Northgate Way Ste 101, Seattle, WA 98133-9018 | 2017-05-01 |
| 1174061543 | Antares Wellness Pllc | Clinic/Center | 9319 7th Ave S, Seattle, WA 98108-4604 | 2017-02-06 |
| 1962852038 | Northwest Pain Relief Centers, LLC | Clinic/Center | 503 W Fir St, Suite D, Sequim, WA 98382-3210 | 2016-06-20 |
| 1851741698 | Marconi Chiropractic and Wellness | Clinic/Center | 11207 Mccutcheon Rd, Bonney Lake, WA 98391-8103 | 2016-06-13 |
| 1356738694 | Northwest Pain Relief Centers LLC | Clinic/Center | 7424 Bridgeport Way W Ste 305, Lakewood, WA 98499-8135 | 2015-04-24 |
| 1306231170 | Objective Medical Assessments Corp | Clinic/Center | 401 2nd Ave S, #110, Seattle, WA 98104-3858 | 2015-03-30 |
| 1477946754 | Rose Urgent Care and Family Practice | Clinic/Center | 650 N Devine Rd Ste B, Vancouver, WA 98661-6979 | 2015-03-11 |
| 1336549609 | Ranger Group Pllc | Clinic/Center | 16150 Ne 85th St Ste 110, Redmond, WA 98052-3541 | 2014-08-24 |
| 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.