Renton Sports & Spine Pt
Physical Therapist in Renton, WA. Organization (NPI-2).
Details
- NPI
- 1528068533
- Entity type
- Organization (NPI-2)
- Legal business name
- Renton Sports & Spine Pt
- Organization subpart
- No
- Enumeration date
- Aug 1, 2005
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT00009793 | WA | Yes |
Practice location
4361 Talbot Rd SSuite 100
Renton, WA 98055-6226
Phone 425-917-9885 · Fax 425-917-2334
Mailing address
4361 Talbot Rd SSuite 100
Renton, WA 98055-6226
Phone 425-917-9885 · Fax 425-917-2334
Authorized official
Joel M Johnson
Director/Physical Therapist
4259179885
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