MR. MICHAEL F OBERGOTTSBERGER


Address: 4029 Northwest Ave, Suite 302, Bellingham, WA 98226-9077
Phone: 3607342277

MR. MICHAEL F OBERGOTTSBERGER (NPI# 1952399719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952399719
Entity Type Individual
Full Name MR. MICHAEL F OBERGOTTSBERGER
Credential ATC
Practice Address 4029 Northwest Ave
Suite 302
Bellingham
WA 98226-9077
Practice Telephone 3607342277
Practice Fax Number 3607343006
Mailing Telephone 3607342277
Mailing Fax Number 3607343006
Enumeration Date 2005-10-06
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
2255A2300X WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4029 NORTHWEST AVE
SUITE 302
City BELLINGHAM
State WA
Zip Code 98226-9077

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1457695116 Sound Pain Alliance Clinic/Center 4029 Northwest Ave, Bellingham, WA 98226 2012-11-19
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1326308982 Sound Pain Alliance Clinic/Center 4029 Northwest Ave, Bellingham, WA 98226-9077 2012-05-16
1265748016 Wendy Lucille Tan Registered Nurse 4029 Northwest Ave, Suite 301, Bellingham, WA 98226-9077 2010-08-30
1336323047 Northwest Radiologists Inc., P.s. Clinic/Center 4029 Northwest Ave, Suite 301a, Bellingham, WA 98226-9077 2007-12-18
1740322304 Excel Physical Therapy Inc. Clinic/Center 4029 Northwest Ave, Suite #302, Bellingham, WA 98226-9077 2007-02-12
1831128099 Lisa G Obergottsberger Physical Therapist 4029 Northwest Ave, Suite #302, Bellingham, WA 98226-9077 2006-07-01

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NPI Name Taxonomy Address Enumeration
1558901090 Advancement Northwest, LLC Community/Behavioral Health 410 W Bakerview Rd Suite 110, Space 107, Bellingham, WA 98226 2020-01-13
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1710454913 Shane Humason Pharmacist 1225 East Sunset Drive, Ste 110, Bellingham, WA 98226 2018-10-26
1508342759 Lydia Place A Nonprofit Corporation Counselor 1430 North Garden Street, Bellingham, WA 98226 2018-07-11
1609384486 Lindsay Grace Davis Massage Therapist 1572 Huntley Rd, Bellingham, WA 98226 2018-01-16
1760900765 Melissa Peters Massage Therapist 823 W Larson Rd, Bellingham, WA 98226 2017-08-30
1245754001 Amber Michelle Wilson Physical Therapy Assistant 4860 Cordata Pkwy, North Cascades Health and Rehab, Bellingham, WA 98226 2017-08-02
1063935310 Sophie Elizabeth Kangas Speech-Language Pathologist 4152 Meridian Street, Suite 105, Pmb 159, Bellingham, WA 98226 2017-07-19
1639607849 Sharon Lynn Katz-kunde Physical Therapist 317 E Mcleod Rd #101, Bellingham, WA 98226 2017-06-01
1376998179 Hyowon Choi Podiatrist 2075 Barkley Blvd Ste 220, Bellingham, WA 98226 2016-04-28
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

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1871014282 Cody Armstrong Specialist/Technologist 136 Polo Park Dr, Bellingham, WA 98229-7774 2017-07-06
1699221044 Chandler Batiste Specialist/Technologist 833 Chuckanut Dr, Bellingham, WA 98229-8984 2016-08-26
1952425050 Masayoshi Migita Specialist/Technologist 516 High St., Carver Gym 100, Bellingham, WA 98225-9066 2007-03-16
1336278969 Kerry N. Gustafson Specialist/Technologist 1433 N State St, Bellingham, WA 98225-4512 2007-03-02
1316075773 Lori Dekubber Specialist/Technologist Western Washington University, 516 High Street, Bellingham, WA 98225-9066 2007-02-28
1861023004 Personalized Health Solutions, LLC Specialist/Technologist 1704 N State St, Bellingham, WA 98225-4605 2020-01-27
1417451881 Anthony Keeler Specialist/Technologist 48 North St, Bellingham, MA 02019-1713 2018-03-21
1669982690 Hideto Nakazato Specialist/Technologist 4029 Northwest Ave Ste 302, Bellingham, WA 98226-9077 2017-10-04
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Competitor

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City BELLINGHAM
Zip Code 98226

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Dataset Information

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.

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