NORTHWEST SPORT AND SPINE PHYSICAL THERAPY (NPI# 1487158259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487158259 |
| Entity Type | Organization |
| Organization Name | NORTHWEST SPORT AND SPINE PHYSICAL THERAPY |
| Other Organization Name | NORTHWEST SPORT AND SPINE PHYSICAL THERAPY-MT VERNON |
| Practice Address |
17788 147th St Se Monroe WA 98272-1030 |
| Practice Telephone | 3604644358 |
| Mailing Telephone | 3604644358 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |
| Authorized Official Name | SEAN O'KELLEY (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3604644358 |
| Authorized Official Credential | BS, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | PT60693079 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northwest Sport and Spine Physical Therapy-Mt Vernon | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 525 E College Way, Mount Vernon, WA 982735571 | 3604644358 |
| Street Address |
17788 147TH ST SE |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136169 | Camp Riley Drug Co. Inc | Durable Medical Equipment & Medical Supplies | 17788 147th St Se, Monroe, WA 98272-1030 | 2005-07-07 |
| 1720301450 | Daniel Lee Mcmanus | Pharmacist | 17788 147th St Se, Monroe, WA 98272-1030 | 2010-03-09 |
| 1740381961 | Jeff Kauffman | Pharmacist | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-09-26 |
| 1922033257 | Cindi Deslys Kenner | Pharmacist | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-07-12 |
| 1801826466 | Bridget B Thorpe | Pharmacy Technician | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-07-03 |
| 1952331597 | Pamela S Counsell | Pharmacy Technician | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-07-03 |
| 1811923238 | Pam Denton | Pharmacy Technician | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-06-25 |
| 1629014832 | Gary O Smith | Pharmacist | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-06-22 |
| 1396786109 | Bridgett A Yankey | Pharmacy Technician | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-06-10 |
| 1861433708 | Keith J Vanderhouwen | Pharmacist | 17788 147th St Se, Monroe, WA 98272-1030 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548592975 | James M. Potts, M.d., Apmc | Physical Medicine & Rehabilitation | 312 Grammont St., Suite 301, Monroe, LA 71201 | 2010-02-10 |
| 1578584926 | Keith Roydon Barbour | Physical Medicine & Rehabilitation | 975 S Monroe St, Suite C, Monroe, MI 48161-1477 | 2006-07-21 |
| 1487683454 | Emily J Rayes-prince | Physical Medicine & Rehabilitation | 2208 W Roosevelt Blvd, Monroe, NC 28110-2762 | 2006-07-02 |
| 1750337804 | Judy A Macy | Physical Medicine & Rehabilitation | 167 Cole Rd, Monroe, MI 48162-4106 | 2006-05-26 |
| 1396734190 | Robert B Giedraitis | Physical Medicine & Rehabilitation | 1995 Wellness Blvd Bldg B, Suite 110, Monroe, NC 28110-7769 | 2005-10-14 |
| 1679061485 | Kathryn H Nance | Physical Medicine & Rehabilitation | 1501 Louisville Ave, Monroe, LA 71201-6025 | 2018-04-26 |
| 1063700276 | Michelle S. Faull | Physical Medicine & Rehabilitation | 515 22nd Ave, Monroe, WI 53566-1569 | 2011-07-21 |
| 1639479355 | Novant Medical Group, Inc | Physical Medicine & Rehabilitation | 1995 Wellness Blvd, Bldg B Suite 110, Monroe, NC 28110-7772 | 2010-10-28 |
| 1184806374 | Rolf D. Morstead, M.d. Apmc | Physical Medicine & Rehabilitation | 312 Grammont St, Suite 301, Monroe, LA 71201-7457 | 2007-11-29 |
| 1255355871 | Rehabilitation Specialists of Monroe P C | Physical Medicine & Rehabilitation | 975 S Monroe St, Suite C, Monroe, MI 48161-1477 | 2006-07-27 |
| Find all providers in MONROE | ||||
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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.