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OLYMPIC SPINE AND SPORTS THERAPY PC
NPI 1629250980
Chiropractor in Mountlake Terrace, WA

Active since November 28, 2007
6603 220TH ST SW, STE 102, MOUNTLAKE TERRACE, WA 98043(425) 774-2411(425) 672-7065 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Olympic Spine And Sports Therapy Pc NPPES

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

OLYMPIC SPINE AND SPORTS THERAPY PC (NPI 1629250980) is a healthcare organization registered as a chiropractor in Mountlake Terrace, Washington and active in the NPI registry since November 2007. The organization lists Lee Shelley, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629250980
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameOLYMPIC SPINE AND SPORTS THERAPY PC
Location Address6603 220TH ST SW, STE 102Mountlake Terrace, WA 98043-2186
Mailing Address6603 220th St Sw, Ste 102Mountlake Terrace, WA 98043-2186 · (425) 774-2411 · Fax (425) 672-7065
Phone(425) 774-2411
Fax(425) 672-7065
Organization SubpartNo
Authorized OfficialLee ShelleyOffice Manager · (425) 774-2411
Enumeration DateNovember 28, 2007
Last NPPES UpdateMarch 22, 2017
✔ NPI 1629250980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00001890
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.
6603 220TH ST SW, Mountlake Terrace, WA 98043
Open in Google Maps ↗

Other Identifiers 1

Medicare PINGAB21076WA

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

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)

Olympic Spine And Sports Therapy Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Olympic Spine And Sports Therapy PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Mark Shelley, DC
Chiropractic
NPI 1124105275
6603 220TH ST SW STE 102
Mountlake Terrace, WA 98043
(425) 774-2411
✔ Accepts MedicareSame address
Paulo Webb
Chiropractic
NPI 1962220962
7127 196TH ST SW STE 101
Lynnwood, WA 98036
(425) 775-6986
✔ Accepts Medicare1.5 mi
Britni Everett, D.C.
Chiropractic
NPI 1417385345
10024 MAIN ST #2C
Bothell, WA 98011
(425) 485-1413
✔ Accepts Medicare6.1 mi

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 Olympic Spine And Sports Therapy PC's NPI number?

The NPI number for Olympic Spine And Sports Therapy PC is 1629250980. It was assigned to this organization in the NPPES registry on November 28, 2007.

Where is Olympic Spine And Sports Therapy PC located?

Olympic Spine And Sports Therapy PC is located at 6603 220th St SW Ste 102, Mountlake Terrace, WA 98043. The listed phone number is (425) 774-2411.

What is Olympic Spine And Sports Therapy PC's specialty?

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

Is Olympic Spine And Sports Therapy PC enrolled in Medicare?

Yes. Olympic Spine And Sports Therapy PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Olympic Spine And Sports Therapy PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Chiropractic, reassign their Medicare billing to Olympic Spine And Sports Therapy PC. 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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Olympic Spine And Sports Therapy PC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Olympic Spine And Sports Therapy PC 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 Olympic Spine And Sports Therapy PC was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.