ATHLETES PERFORMANCE CENTER PS
NPI 1013200492
Chiropractor - Sports Physician in Seattle, WA
About Athletes Performance Center Ps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATHLETES PERFORMANCE CENTER PS (NPI 1013200492), doing business as Kinetic Sports Rehab, is a healthcare organization registered as a sports physician in Seattle, Washington and active in the NPI registry since May 2011. The organization maintains a secondary practice location in Seattle and lists Michael D Bourbonnais, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Athletes Performance Center Ps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Athletes Performance Center Ps, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Athletes Performance Center Ps's NPI number?
The NPI number for Athletes Performance Center Ps is 1013200492. It was assigned to this organization in the NPPES registry on May 18, 2011. The provider is doing business as Kinetic Sports Rehab and Tangelo Manual Therapy & Movement.
Where is Athletes Performance Center Ps located?
Athletes Performance Center Ps is located at 4755 Fauntleroy Way SW Ste 120, Seattle, WA 98116. The listed phone number is (206) 946-1323.
What is Athletes Performance Center Ps's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is Athletes Performance Center Ps enrolled in Medicare?
Yes. Athletes Performance Center Ps is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Athletes Performance Center Ps?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Chiropractic, reassign their Medicare billing to Athletes Performance Center Ps. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Athletes Performance Center Ps accept?
Health plans from Ambetter Health list Athletes Performance Center Ps as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Athletes Performance Center Ps was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Athletes Performance Center Ps · NPI 1013200492
Sports Physician organization in Seattle, Washington. Organization record, active in the CMS NPPES registry since May 18, 2011.
## Identity
- **NPI:** 1013200492 (Entity type: Organization)
- **Enumerated:** May 18, 2011
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **Also known as:** Kinetic Sports Rehab (Doing Business As); Tangelo Manual Therapy & Movement (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Bourbonnais, OWNER
## Practice location
- **Address:** 4755 FAUNTLEROY WAY SW STE 120, Seattle, WA 98116-4669
- **Phone:** (206) 946-1323 · **Fax:** (206) 926-7908
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013200492) · Data from the CMS NPPES public registry.