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SPOKANE SPORT & SPINE
NPI 1376097279
Clinic/Center in Spokane, WA

Active since August 09, 2016
3209 E 57TH AVE, STE F, SPOKANE, WA 99223(509) 720-1117 Get Directions Write a Review

NPPES record last updated: August 9, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Spokane Sport & Spine NPPES

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

SPOKANE SPORT & SPINE (NPI 1376097279) is a healthcare organization registered as a clinic/center in Spokane, Washington and active in the NPI registry since August 2016. The organization lists Ryan D Johnson, Doctor Of Chiropractic, as its authorized official.

NPPES Registry Identity

NPI1376097279
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSPORT & SPINE LLC
Location Address3209 E 57TH AVE, STE FSpokane, WA 99223-7040
Mailing Address5428 S Regal St, Po Box 31032Spokane, WA 99223-8153
Phone(509) 720-1117
Organization SubpartNo
Authorized OfficialRyan D JohnsonDoctor Of Chiropractic · (509) 720-1117
Enumeration DateAugust 9, 2016
✔ NPI 1376097279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · CH60130771
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3209 E 57TH AVE, Spokane, WA 99223
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Other Names 1

Doing Business AsSpokane Sport & Spine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Spokane Sport & Spine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spokane Sport & Spine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Johnson, D.C.
Chiropractic
NPI 1780816389
3209 E 57TH AVE STE F
Spokane, WA 99223
(509) 868-0458
Same 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 Sport & Spine LLC's NPI number?

The NPI number for Sport & Spine LLC is 1376097279. It was assigned to this organization in the NPPES registry on August 9, 2016. The provider is doing business as Spokane Sport & Spine.

Where is Sport & Spine LLC located?

Sport & Spine LLC is located at 3209 E 57th Ave Ste F, Spokane, WA 99223. The listed phone number is (509) 720-1117.

What is Sport & Spine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Sport & Spine LLC enrolled in Medicare?

Yes. Sport & Spine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sport & Spine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Sport & Spine LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sport & Spine LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Sport & Spine LLC 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 Sport & Spine LLC was last updated on August 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.