Olympic Spine and Sports Therapy PC
NPI 1629250980ActiveOrganization· Chiropractor· Mountlake Terrace, WA
Chiropractor in Mountlake Terrace, Washington, registered in NPPES in November 2007. The authorized official on file is Lee Shelley, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629250980 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2007 |
| Last updated in NPPES | Mar 22, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CH00001890 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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