OrganizationActive
Professional Recreation Organization, Inc.
NPI 1780100438 · Massage Therapist · Bellevue, WA
Provider details
- NPI number
- 1780100438
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Debbie Becker, Sr Director of Accounting(425) 869-4746
- License
- 600541508 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Other names (DBA / former)
- Doing business as
- Pro Sports Club
Registry dates
- Enumerated
- 2017-08-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.