Rainier Athletic Club
NPI 1700691805ActiveOrganization· Physical Medicine & Rehabilitation, Sports Medicine· Tacoma, WA
Physical Medicine & Rehabilitation, Sports Medicine in Tacoma, Washington, registered in NPPES in February 2025. The authorized official on file is Kevin Vandenbosch, Manager.
Overview
| NPI | 1700691805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2025 |
| Last updated in NPPES | Feb 7, 2025 |
| Certified by provider | Feb 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Sports Medicine Primary | 2081S0010X | — | — |
| Chiropractor | 111N00000X | — | — |
| Nutritionist | 133N00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Massage Therapist | 225700000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Medicine & Rehabilitation, Sports Medicine providers in Tacoma
- 1063601375
- 1083977466
All Physical Medicine & Rehabilitation, Sports Medicine providers in Washington