Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRO-FORM CHIROPRACTIC AND SPORTS INJURY
NPI 1871256180
Chiropractor in Seattle, WA

Q: What is Pro-Form Chiropractic And Sports Injury's specialty?

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

Active since October 14, 2021

4041 ROOSEVELT WAY NE STE 101, SEATTLE, WA 98105(203) 312-3894 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 27, 2026, Jan 8, 2025, Mar 2, 2022 and 1 more (4 updates tracked since 2021).

On this page

About Pro-form Chiropractic And Sports Injury NPPES

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

PRO-FORM CHIROPRACTIC AND SPORTS INJURY (NPI 1871256180) is a healthcare organization registered as a chiropractor in Seattle, Washington and active in the NPI registry since October 2021. The organization lists Nicholas Petrini, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1871256180

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NamePRO-FORM CHIROPRACTIC AND SPORTS INJURY

Location Address4041 ROOSEVELT WAY NE STE 101Seattle, WA 98105-6579

Mailing Address5534 84th Dr NeMarysville, WA 98270-8509 · (203) 312-3894

Phone(203) 312-3894

Organization SubpartNo

Authorized OfficialNicholas PetriniChiropractor/owner · (206) 705-3088

Enumeration DateOctober 14, 2021

Last NPPES UpdateOctober 27, 20264 updates tracked since enumeration

NPPES CertifiedOctober 27, 2026

✔ NPI 1871256180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

4041 ROOSEVELT WAY NE STE 101, Seattle, WA 98105

Open in Google Maps ↗

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

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 Pro-Form Chiropractic And Sports Injury's NPI number?

The NPI number for Pro-Form Chiropractic And Sports Injury is 1871256180. It was assigned to this organization in the NPPES registry on October 14, 2021.

Where is Pro-Form Chiropractic And Sports Injury located?

Pro-Form Chiropractic And Sports Injury is located at 4041 Roosevelt Way NE Ste 101, Seattle, WA 98105. The listed phone number is (203) 312-3894.

What is Pro-Form Chiropractic And Sports Injury's specialty?

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

When was this NPI record last updated?

The NPPES record for Pro-Form Chiropractic And Sports Injury was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.