1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Chiropractor
  6. NPI Profile

ATHLETES PERFORMANCE CENTER PS
NPI 1013200492
Chiropractor - Sports Physician in Seattle, WA

Active since May 18, 2011
4755 FAUNTLEROY WAY SW STE 120, SEATTLE, WA 98116(206) 946-1323(206) 926-7908 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1013200492
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameATHLETES PERFORMANCE CENTER PS
Location Address4755 FAUNTLEROY WAY SW STE 120Seattle, WA 98116-4669
Mailing Address7116 Woodlawn Ave NeSeattle, WA 98115-5435 · (206) 522-6240 · Fax (206) 926-7899
Phone(206) 946-1323
Fax(206) 926-7908
Organization SubpartNo
Authorized OfficialMichael D BourbonnaisOwner · (206) 522-6240
Enumeration DateMay 18, 2011
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1013200492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed · CH00034592
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedChiropractorTaxonomy 111N00000X · License CH00003244 (WA)
4755 FAUNTLEROY WAY SW STE 120, Seattle, WA 98116
Open in Google Maps ↗

Other Names 2

Doing Business AsKinetic Sports Rehab
Doing Business AsTangelo Manual Therapy & Movement

Secondary Practice Location 1

Location 17116 Woodlawn Ave NESeattle, WA 98115-5435 · Phone (206) 522-6240 · Fax (206) 926-7899

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN MACKENZIE SHARON FORTIER DC
Chiropractor
4755 FAUNTLEROY WAY SW STE 120
SEATTLE, WA 98116
King County (206) 946-1323
DR. HILARY DARLING DC
Chiropractor
4755 FAUNTLEROY WAY SW STE 120
SEATTLE, WA 98116
King County (206) 946-1323

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.

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 9 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.