OrganizationActive
Sports Medicine Group
NPI 1629177225 · Sports Medicine (Family Medicine) Physician · Seattle, WA
Provider details
- NPI number
- 1629177225
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Northwest Hospital
- Organization subpart
- Yes
- Authorized official
- Ricki Vadset, Clinic Administrator(206) 368-6100
- License
- 601 664 888 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
10330 Meridian Ave N
Suite 300
Seattle, WA 98133-9451
Phone: (206) 368-6100
Fax: (206) 368-6101
Street-level locationGet directions
Mailing address
10330 Meridian Ave N
Seattle, WA 98133-9451
Other names (DBA / former)
- Doing business as
- The Sports Medicine Clinic
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2008-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.