OrganizationActive
Professional Recreation Organization, Inc.
NPI 1144708819 · Ambulatory Surgical Clinic/Center · Bellevue, WA
Provider details
- NPI number
- 1144708819
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Burgess, Medical Billing Supervisor(425) 895-6575
- License
- 60054108 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4455 148th Ave Ne
Bellevue, WA 98007-3120
Phone: (425) 895-6575
Street-level locationGet directions
Mailing address
4455 148th Ave Ne
Bellevue, WA 98007-3120
Registry dates
- Enumerated
- 2018-08-03
- Last updated
- 2018-08-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.