NW INTERVENTIONAL MEDICINE AND ORTHOPEDIC REHAB PLLC
NPI 1982058814
Physician Assistant - Medical in Vancouver, WA

Q: What is NW Interventional Medicine And Orthopedic Rehab PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since April 18, 2016

11802 NE 65TH ST., VANCOUVER, WA 98662(360) 253-6883(360) 892-7040 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nw Interventional Medicine And Orthopedic Rehab Pllc NPPES

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

NW INTERVENTIONAL MEDICINE AND ORTHOPEDIC REHAB PLLC (NPI 1982058814) is a healthcare organization registered as a medical in Vancouver, Washington and active in the NPI registry since April 2016. The organization lists Mike Back, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1982058814

Entity TypeOrganization

Primary Taxonomy363AM0700X

Legal Business NameNW INTERVENTIONAL MEDICINE AND ORTHOPEDIC REHAB PLLC

Location Address11802 NE 65TH ST.Vancouver, WA 98662

Mailing Address11802 Ne 65th St.Vancouver, WA 98662 · (360) 253-6883 · Fax (360) 892-7040

Phone(360) 253-6883

Fax(360) 892-7040

Organization SubpartNo

Authorized OfficialMike BackOwner/manager · (360) 253-6883

Enumeration DateApril 18, 2016

✔ NPI 1982058814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

11802 NE 65TH ST., Vancouver, WA 98662

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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 BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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)

Nw Interventional Medicine And Orthopedic Rehab Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to NW Interventional Medicine And Orthopedic Rehab PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Michael Back, DC

Chiropractic

NPI 1962407080

11802 NE 65TH ST SUITE 100
Vancouver, WA 98662

(360) 253-6883

✔ Accepts MedicareSame address

William Mackenzie, PT

Physical Therapist in Private Practice

NPI 1457356404

11802 NE 65TH ST 100
Vancouver, WA 98662

(360) 253-6883

✔ 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 NW Interventional Medicine And Orthopedic Rehab PLLC's NPI number?

The NPI number for NW Interventional Medicine And Orthopedic Rehab PLLC is 1982058814. It was assigned to this organization in the NPPES registry on April 18, 2016.

Where is NW Interventional Medicine And Orthopedic Rehab PLLC located?

NW Interventional Medicine And Orthopedic Rehab PLLC is located at 11802 NE 65th St., Vancouver, WA 98662. The listed phone number is (360) 253-6883.

What is NW Interventional Medicine And Orthopedic Rehab PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is NW Interventional Medicine And Orthopedic Rehab PLLC enrolled in Medicare?

Yes. NW Interventional Medicine And Orthopedic Rehab PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through NW Interventional Medicine And Orthopedic Rehab PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to NW Interventional Medicine And Orthopedic Rehab PLLC, in Chiropractic and Physical Therapist in Private Practice. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does NW Interventional Medicine And Orthopedic Rehab PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list NW Interventional Medicine And Orthopedic Rehab PLLC 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 NW Interventional Medicine And Orthopedic Rehab PLLC was last updated on April 18, 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.