GENESIS CHIROPRACTIC REHABILITATION NW INC
NPI 1184897225
Chiropractor in Puyallup, WA

Active since April 09, 2008
12815 CANYON RD E, SUITE K, PUYALLUP, WA 98373(253) 256-4769(253) 268-2057 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Genesis Chiropractic Rehabilitation Nw Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS CHIROPRACTIC REHABILITATION NW INC (NPI 1184897225) is a healthcare organization registered as a chiropractor in Puyallup, Washington and active in the NPI registry since April 2008. The organization lists Marc D Hines, Owner, as its authorized official.

NPPES Registry Identity

NPI1184897225
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGENESIS CHIROPRACTIC REHABILITATION NW INC
Location Address12815 CANYON RD E, SUITE KPuyallup, WA 98373-5104
Mailing Address12815 Canyon Rd E, Suite KPuyallup, WA 98373-5104 · (253) 256-4769 · Fax (253) 268-2057
Fax(253) 268-2057
Organization SubpartNo
Authorized OfficialMarc D HinesOwner · (253) 256-4769
Enumeration DateApril 9, 2008
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
✔ NPI 1184897225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00002989
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12815 CANYON RD E, Puyallup, WA 98373

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Genesis Chiropractic Rehabilitation Nw Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Genesis Chiropractic Rehabilitation NW Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1710030358
12815 CANYON RD E SUITE I
Puyallup, WA 98373
(253) 256-4769
✔ Accepts MedicareSame address
Chiropractic
NPI 1447602156
12815 CANYON RD E SUITE K
Puyallup, WA 98373
(253) 256-4769
✔ Accepts MedicareSame address

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 Genesis Chiropractic Rehabilitation NW Inc's NPI number?

The NPI number for Genesis Chiropractic Rehabilitation NW Inc is 1184897225. It was assigned to this organization in the NPPES registry on April 9, 2008.

Where is Genesis Chiropractic Rehabilitation NW Inc located?

Genesis Chiropractic Rehabilitation NW Inc is located at 12815 Canyon Rd E Suite K, Puyallup, WA 98373. The listed phone number is (253) 256-4769.

What is Genesis Chiropractic Rehabilitation NW Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Genesis Chiropractic Rehabilitation NW Inc enrolled in Medicare?

Yes. Genesis Chiropractic Rehabilitation NW Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Chiropractic Rehabilitation NW Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Genesis Chiropractic Rehabilitation NW Inc. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Genesis Chiropractic Rehabilitation NW Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Genesis Chiropractic Rehabilitation NW Inc 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 Genesis Chiropractic Rehabilitation NW Inc was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.