TRI-CITIES REGENERATIVE INSTITUTE (NPI# 1487148680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487148680 |
| Entity Type | Organization |
| Organization Name | TRI-CITIES REGENERATIVE INSTITUTE |
| Practice Address |
8905 W Gage Blvd Ste 100 Kennewick WA 99336-7191 |
| Practice Telephone | 5095794300 |
| Mailing Telephone | 5095794300 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. RYAN DAVID KIELY (ADMINISTRATOR) |
| Authorized Official Telephone | 5098852844 |
| Authorized Official Credential | MS, LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians | ||
| N | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
8905 W GAGE BLVD STE 100 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-7191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638400 | Iain Mistrot | Physical Medicine & Rehabilitation | University of Washington 354070 Graves Building, Seattle, WA 98195-0001 | 2020-04-25 |
| 1114555133 | Lilly Paige Walker | Physical Medicine & Rehabilitation | 1624 Ne Cougar Way, Perham 126, Pullman, WA 99163-9916 | 2020-03-27 |
| 1881189009 | Stephan Paul Bellande | Physical Medicine & Rehabilitation | 1292 Ne Mount Olympus Ln Apt B303, Bremerton, WA 98311-3893 | 2018-06-29 |
| 1740781210 | Priya Goyal | Physical Medicine & Rehabilitation | 728 S 320th St Ste G, Federal Way, WA 98003-5255 | 2018-02-21 |
| 1255739678 | Michelle Physical Therapy | Physical Medicine & Rehabilitation | 649 Windsor Dr Se, Sammamish, WA 98074-3422 | 2014-12-17 |
| 1063601375 | Kathleen Elizabeth Severeid | Physical Medicine & Rehabilitation | 209 M L King Jr Way, Tsc-tacoma Medical Center, Tacoma, WA 98405-4265 | 2007-10-23 |
| 1679598510 | Ghislaine Robert | Physical Medicine & Rehabilitation | 8630 164th Ave Ne, 205, Redmond, WA 98052-3606 | 2006-07-13 |
| 1053352708 | Brian J Krabak | Physical Medicine & Rehabilitation | University of Washington Medical Ctr, Dept Rehabilitation Medicine1959 Pacific Ne, 356490, Seattle, WA 98195-0001 | 2006-06-10 |
| 1942253000 | Alison Stout | Physical Medicine & Rehabilitation | 12039 Ne 128th St Ste 500, Kirkland, WA 98034-3029 | 2006-05-18 |
| 1003801754 | M Steven Hughes | Physical Medicine & Rehabilitation | 1632 116th Ave Ne Ste C, Bellevue, WA 98004-3035 | 2005-09-19 |
| 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.