Ellensburg Sport and Spine, LLC
NPI 1376215483 · Chiropractor · Ellensburg, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ellensburg Sport and Spine, LLC is a Chiropractor organization in Ellensburg, WA (NPI 1376215483).
Provider details
- NPI number
- 1376215483
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Dillon Clark, Owner/Authorized Official(360) 791-6226
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Other names (DBA / former)
- Doing business as
- Clark Chiropractic and Wellness
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2022-05-06
- Certified
- 2022-05-06
Frequently asked questions
- What is Ellensburg Sport and Spine, LLC's NPI number?
- Ellensburg Sport and Spine, LLC's National Provider Identifier (NPI) is 1376215483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ellensburg Sport and Spine, LLC?
- Ellensburg Sport and Spine, LLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Ellensburg Sport and Spine, LLC located?
- Ellensburg Sport and Spine, LLC's practice location on file with NPPES is 314 N Pine St, Ellensburg, WA 98926-3366.
- What is Ellensburg Sport and Spine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ellensburg Sport and Spine, LLC is (360) 791-6226.
- Does Ellensburg Sport and Spine, LLC accept Medicare?
- Ellensburg Sport and Spine, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ellensburg Sport and Spine, LLC?
- The authorized official listed on Ellensburg Sport and Spine, LLC's NPPES record is Dillon Clark, Owner/Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ellensburg Sport and Spine, LLC's NPI active?
- Yes — Ellensburg Sport and Spine, LLC's NPI (1376215483) is active in the NPPES registry as of the last update on 2022-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.