THE SPORTS MEDICINE CLINIC
NPI 1629177225
Family Medicine - Sports Medicine in Seattle, WA

Active since September 21, 2006CLIA 50D0632061 · Waiver
10330 MERIDIAN AVE N, SUITE 300, SEATTLE, WA 98133(206) 368-6100(206) 368-6101 Get Directions Write a Review

NPPES record last updated: September 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Sports Medicine Clinic NPPES

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

THE SPORTS MEDICINE CLINIC (NPI 1629177225) is a healthcare organization registered as a sports medicine in Seattle, Washington and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Ricki Vadset, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1629177225
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameSPORTS MEDICINE GROUP
Location Address10330 MERIDIAN AVE N, SUITE 300Seattle, WA 98133-9451
Mailing Address10330 Meridian Ave N, Suite 300Seattle, WA 98133-9451 · (206) 368-6100 · Fax (206) 368-6101
Fax(206) 368-6101
Organization SubpartYesParent: Northwest Hospital
Authorized OfficialRicki VadsetClinic Administrator · (206) 368-6100
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 25, 2008
NPI 1629177225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in WA · 601 664 888
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

10330 MERIDIAN AVE N, Seattle, WA 98133

Other Names 1

Doing Business AsThe Sports Medicine Clinic

Other Identifiers 2

Medicare ID-Type Unspecified217119400WA
Medicare NSC1227890001WA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D0632061

Sports Medicine Clinic At Northwest Outpatient Medical Center · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D0632061
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorChristian D. Peterson
Laboratory Phone(206) 668-6100
Laboratory LocationSports Medicine Clinic At Northwest Outpatient Medical Center10330 Meridian Ave N Ste 300, Seattle, WA 98133
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Rheumatology)
10330 MERIDIAN AVE N, STE 230
SEATTLE, WA 98133
Ophthalmology
10330 MERIDIAN AVE N, #370
SEATTLE, WA 98133
Ophthalmology
10330 MERIDIAN AVE N, #370
SEATTLE, WA 98133
Nurse Anesthetist, Certified Registered
10330 MERIDIAN AVE N, #370
SEATTLE, WA 98133
Obstetrics & Gynecology (Gynecology)
10330 MERIDIAN AVE N, SUITE 372
SEATTLE, WA 98133
Orthopaedic Surgery
10330 MERIDIAN AVE N, SUITE 270
SEATTLE, WA 98133
Orthopaedic Surgery
10330 MERIDIAN AVE N, SUITE 270
SEATTLE, WA 98133
Obstetrics & Gynecology
10330 MERIDIAN AVE N, SUITE 200
SEATTLE, WA 98133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629177225, enumerated as an "organization" on September 21, 2006.

The provider is located at 10330 MERIDIAN AVE N SUITE 300 SEATTLE, WA 98133 and the phone number is (206) 368-6100.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.