Liberty Lake Family & Sports Medicine, P.s.
NPI 1043407935 · Sports Medicine (Family Medicine) Physician · Liberty Lake, WA
Liberty Lake Family & Sports Medicine, P.s. is a Sports Medicine (Family Medicine) Physician organization in Liberty Lake, WA (NPI 1043407935).
Provider details
- NPI number
- 1043407935
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Manson, Owner(509) 921-7755
- License
- 601991291 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-09-25
- Last updated
- 2011-10-04
Frequently asked questions
- What is Liberty Lake Family & Sports Medicine, P.s.'s NPI number?
- Liberty Lake Family & Sports Medicine, P.s.'s National Provider Identifier (NPI) is 1043407935, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Liberty Lake Family & Sports Medicine, P.s.?
- Liberty Lake Family & Sports Medicine, P.s. is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Liberty Lake Family & Sports Medicine, P.s. located?
- Liberty Lake Family & Sports Medicine, P.s.'s practice location on file with NPPES is 2207 N Molter Rd, Liberty Lake, WA 99019-7571.
- What is Liberty Lake Family & Sports Medicine, P.s.'s phone number?
- The practice phone number listed in the NPPES registry for Liberty Lake Family & Sports Medicine, P.s. is (509) 921-7755.
- Who is the authorized official for Liberty Lake Family & Sports Medicine, P.s.?
- The authorized official listed on Liberty Lake Family & Sports Medicine, P.s.'s NPPES record is Timothy Manson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Liberty Lake Family & Sports Medicine, P.s.'s NPI active?
- Yes — Liberty Lake Family & Sports Medicine, P.s.'s NPI (1043407935) is active in the NPPES registry as of the last update on 2011-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.