Renton Sports & Spine Pt
LBN: Renton Sports & Spine Pt
Renton Sports & Spine Pt is an health care organization with primary practice located at 19400 108Th Ave Se Suite 100, Kent WA 98031-0108. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Renton Sports & Spine Pt can be contacted via phone (425) 917-9885, or through Johnson, Joel M via phone (425) 917-9885.
Contact Information
Primary practice address
19400 108Th Ave Se Suite 100
Kent WA 98031-0108
Phone: (425) 917-9885
Fax: (253) 277-0737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00002862 | Washington |
Profile Details
| NPI number | 1326048364 |
|---|---|
| LBN Legal business name | Renton Sports & Spine Pt |
| DBA Doing business as | Renton Sports & Spine Pt |
| Authorized official | Johnson, Joel M Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 13th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326048364 | NPPES |
| Other | 7293608 | CIGNA | |
| MEDICAID | 8351397 | CIGNA | |
| Other | 650021468 | CIGNA | |
| Other | 147035 | CIGNA | |
| Other | 4465984 | CIGNA | |
| Other | 5324J0 | CIGNA |
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