Victory Spine and Sport PLLC
NPI 1780285510 · Clinic/Center · Vancouver, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victory Spine and Sport PLLC is a Clinic/Center organization in Vancouver, WA (NPI 1780285510).
Provider details
- NPI number
- 1780285510
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dustin Henry, Owner(360) 818-4626
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- Victory Spine and Sport
- Doing business as
- Victory Spine and Sport
Registry dates
- Enumerated
- 2020-11-06
- Last updated
- 2021-12-02
- Certified
- 2021-12-02
Frequently asked questions
- What is Victory Spine and Sport PLLC's NPI number?
- Victory Spine and Sport PLLC's National Provider Identifier (NPI) is 1780285510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Spine and Sport PLLC?
- Victory Spine and Sport PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Victory Spine and Sport PLLC located?
- Victory Spine and Sport PLLC's practice location on file with NPPES is 16508 Se 24th St Ste 203, Vancouver, WA 98683-4321.
- What is Victory Spine and Sport PLLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Spine and Sport PLLC is (360) 818-4626.
- Does Victory Spine and Sport PLLC accept Medicare?
- Victory Spine and Sport PLLC 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 Victory Spine and Sport PLLC?
- The authorized official listed on Victory Spine and Sport PLLC's NPPES record is Dustin Henry, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Spine and Sport PLLC's NPI active?
- Yes — Victory Spine and Sport PLLC's NPI (1780285510) is active in the NPPES registry as of the last update on 2021-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.