PROFESSIONAL RECREATION ORGANIZATION, INC. (NPI# 1861918518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861918518 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL RECREATION ORGANIZATION, INC. |
| Other Organization Name | PRO SPORTS CLUB |
| Practice Address |
4455 148th Ave Ne Bellevue WA 98007-3120 |
| Practice Telephone | (425) 895-6575 |
| Mailing Telephone | 4258956575 |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |
| Authorized Official Name | DEBBIE BECKER (SR DIRECTOR OF ACCOUNTING) |
| Authorized Official Telephone | 4258694746 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 600541508 | WA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 600541508 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PRO Sports Club | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
| 1144708819 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-08-03 |
| 1245726538 | Professional Recreation Organization, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1508352881 | Professional Recreation Organization, Inc. | Obstetrics & Gynecology | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1780100438 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| 1689194359 | Professional Recreation Organization, Inc. | Acupuncturist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-06-23 |
| 1063959427 | Professional Recreation Organization, Inc. | Naturopath | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-01-24 |
| 1235575861 | Professional Recreation Organization, Inc. | Psychologist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2013-05-22 |
| 1619213915 | Professional Recreation Organization, Inc. | Orthopaedic Surgery | 4455 148th Ave Ne, Bellevue, WA 98007 | 2012-12-14 |
| 1558488023 | Professional Recreation Organization, Inc. | Dietitian, Registered | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2007-03-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROFESSIONAL RECREATION ORGANIZATION, INC. | 4455 148th Ave Ne, Bellevue, WA 98007-3120 |
| Street Address |
4455 148TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98007-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137892 | Pierce Edward Scranton Jr. | Orthopaedic Surgery | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2006-06-03 |
| 1982238465 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2020-02-24 |
| 1821634924 | Lily Irene Nealon | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2019-11-23 |
| 1841840436 | Galina Borisovna Riabinina | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2019-09-16 |
| 1023663416 | Micah Jeremiah Armbrust | Physical Therapist | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2019-08-03 |
| 1144708819 | Professional Recreation Organization, Inc. | Clinic/Center | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-08-03 |
| 1245726538 | Professional Recreation Organization, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1508352881 | Professional Recreation Organization, Inc. | Obstetrics & Gynecology | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-07-10 |
| 1871080945 | Madeline Erin Kilpatrick | Social Worker | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2018-04-15 |
| 1710496674 | Threasa Andrys | Naturopath | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204947 | Janet Delgado | Interpreter | 3000 Landerholm Cir Se, Bellevue, WA 98007 | 2020-10-29 |
| 1467092643 | Stephanie Schaal | Counselor | 15395 Se 30th Place Ste 120, Bellevue, WA 98007 | 2020-01-15 |
| 1740824358 | Alison Elizabeth Campbell | Massage Therapist | 14575 Ne Bel Red Rd Ste 100, Bellevue, WA 98007 | 2019-11-06 |
| 1275188021 | Pacific Coast Health Care, Pllc | Internal Medicine | Mission Healthcare At Bellevue, 2424 156th Avenue Ne, Bellevue, WA 98007 | 2019-08-08 |
| 1417475054 | Terasak Roeksbutr | Dietitian, Registered | 109 146th Ave Se, Bellevue, WA 98007 | 2017-09-04 |
| 1083130934 | Po-lung Wu | Acupuncturist | 693 156th Ave Se, Bellevue, WA 98007 | 2017-08-22 |
| 1689117319 | Audrey K. Tatt D.d.s. P.l.l.c. | Dentist | 15419 Ne 20th St. #206, Bellevue, WA 98007 | 2016-11-29 |
| 1952751836 | Mona Ebrahimi | Student in an Organized Health Care Education/Training Program | 14270 Ne 21st, Rainbow Creek, Bellevue, WA 98007 | 2016-06-21 |
| 1578939302 | Walgreen | Student in an Organized Health Care Education/Training Program | 15220 156th Ne, Bellevue, WA 98007 | 2015-08-17 |
| 1750767406 | Anar Veliyev | Physical Therapist | 14828 Ne 12th St, Bellevue, WA 98007 | 2015-08-05 |
| Find all providers in zip 98007 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563089 | Highland Middle School Health Center | Family Medicine | 11650 Se 60th St, Bellevue, WA 98006-3702 | 2019-08-14 |
| 1497136121 | Shaista Zaman | Family Medicine | 1600 116th Ave Ne Ste 102, Bellevue, WA 98004-3099 | 2015-06-18 |
| 1457762296 | Nafiseh Sadat Haghgoo | Family Medicine | 400-108th Aven Ne, Bellevue, WA 98004 | 2014-05-14 |
| 1154768802 | Sowmya Amin | Family Medicine | 619 156th Ave Se, Bellevue, WA 98007 | 2013-06-03 |
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1144564097 | Fred W Reebs | Family Medicine | 102 Cascade Ky, Bellevue, WA 98006-1004 | 2012-11-15 |
| 1225387335 | Accelecare Wound Professionals of South Carolina, PC | Family Medicine | 10900 Ne 4th Street Suite 1900, Bellevue, WA 98004 | 2012-09-05 |
| 1003180308 | Steven Yee | Family Medicine | 14505 Bel Red Rd, 100, Bellevue, WA 98007-3936 | 2012-03-05 |
| 1265716799 | Healthmax Incorporated | Family Medicine | 320 106th Ave Ne, Suite A, Bellevue, WA 98004-5791 | 2011-10-03 |
| 1548561954 | Martin E. Hanson | Family Medicine | 9011 Lake Washington Blvd Ne, Bellevue, WA 98004-4826 | 2010-11-16 |
| Find all providers in BELLEVUE | ||||
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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.