Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Coast Spine and Sports Medicine PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1528876109

Coast Spine and Sports Medicine PLLC is a Physical Medicine & Rehabilitation Physician in Kirkland, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12220 113th Ave NE Ste 110
Kirkland, WA 98034-6915
Phone: (253) 648-1853
Fax: (425) 800-9756
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Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1528876109
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandy Clemens — Access Manager · (253) 648-1853
Other names Coast Injury Medicine
NPI enumeratedDecember 27, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address8012 112th Street Ct E Ste 120, Puyallup, WA 98373-7856

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