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THE SPORTS & SPINE CENTER PC
NPI 1649604075
Internal Medicine - Sports Medicine in Tualatin, OR

Active since August 21, 2013
7654 SW MOHAWK ST BLDG K, TUALATIN, OR 97062(503) 691-2000(503) 691-2001 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Sports & Spine Center Pc NPPES

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

THE SPORTS & SPINE CENTER PC (NPI 1649604075) is a healthcare organization registered as a sports medicine in Tualatin, Oregon and active in the NPI registry since August 2013. The organization lists Jimmy D Huebert, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1649604075
Entity TypeOrganization
Primary Taxonomy207RS0010X
Legal Business NameTHE SPORTS & SPINE CENTER PC
Location Address7654 SW MOHAWK ST BLDG KTualatin, OR 97062-8119
Mailing Address7654 Sw Mohawk St Bldg KTualatin, OR 97062-8119 · (503) 691-2000 · Fax (503) 691-2001
Phone(503) 691-2000
Fax(503) 691-2001
Organization SubpartNo
Authorized OfficialJimmy D HuebertOwner/physician · (503) 691-2000
Enumeration DateAugust 21, 2013
Last NPPES UpdateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1649604075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
Definition
An internist 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 healthcare of the individual.
7654 SW MOHAWK ST BLDG K, Tualatin, OR 97062
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Sports & Spine Center Pc 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 The Sports & Spine Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jimmy Huebert, MD
Sports Medicine
NPI 1225050834
7654 SW MOHAWK ST BLDG K
Tualatin, OR 97062
(503) 691-2000
✔ PECOS✔ 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 The Sports & Spine Center PC's NPI number?

The NPI number for The Sports & Spine Center PC is 1649604075. It was assigned to this organization in the NPPES registry on August 21, 2013.

Where is The Sports & Spine Center PC located?

The Sports & Spine Center PC is located at 7654 SW Mohawk St Bldg K, Tualatin, OR 97062. The listed phone number is (503) 691-2000.

What is The Sports & Spine Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is The Sports & Spine Center PC enrolled in Medicare?

Yes. The Sports & Spine Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Sports & Spine Center PC?

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

When was this NPI record last updated?

The NPPES record for The Sports & Spine Center PC was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.