Sam L. Pettibon, D.O.
Rehabilitation Chiropractor · Federal Way, WA
Sam L. Pettibon, D.O. is a rehabilitation chiropractor with a practice address in Federal Way, Washington, and NPI 1386860492, issued on Apr 17, 2007. Check the license (Washington 2174, as entered in NPPES) with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Sam L. Pettibon
- Credential
- D.O.
- Primary taxonomy
- Rehabilitation Chiropractor 111NR0400X
- License number
- 2174 WA
Self-reported in NPPES; status is on the state search - Practice location
- 30804 Pacific Hwy S, Federal Way, WA 98003
- Phone
- (253) 839-5644
- Enumerated
- Apr 17, 2007
- Record last updated
- May 2, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (253) 839-2625
- Medicaid ID
- 2007078 WA
- Medicare enrollment
- Enrolled (PECOS I20120910000606); accepts Medicare assignment
- Medical or professional school
- Life Chiropractic College - West, 1985
- Entity
- Type 1 · individual
8 nearest rehabilitation chiropractor records → All 64 in Washington → Look up another NPI →
Also registered at 30804 Pacific Hwy S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Keane Bagby, D.C.Chiropractor1093893489
Verify Sam L. Pettibon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license 2174Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Sam L. Pettibon among 64 rehabilitation chiropractor records in Washington
Sam L. Pettibon, D.O. is one of 64 rehabilitation chiropractor records with a practice address in Washington. 16% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 22% of them.
- NPI issued2007 · 22% of these records are older, 47% newer
- In a Medicare fileNo · 16% of these records are
- In the CMS Doctors and Clinicians fileYes · 25% of these records are
- Graduated1985 · median 2001 among the 16 with a school on file
- Record last updated2012 · 69% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 111NR0400X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rehabilitation Chiropractor providers in Washington
There are 64 rehabilitation chiropractor records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 64 in Washington → Every provider in Federal Way → Rehabilitation Chiropractor nationwide →
The 8 rehabilitation chiropractor records with the nearest ZIP codes
- Anthony AamodtFederal Way, WA 980031669850798
- Jay Baker, D.C.Federal Way, WA 980031720141161
- James Moss, D.C.Federal Way, WA 980031487867842
- Trevor Gilbert, DCBellevue, WA 980051114231172
- Stefanie Haugen, DCBellevue, WA 980061881886711
- Lawrence Silber, D.C.Bellevue, WA 980081699836254
- Jeff Holt, D.C.Mill Creek, WA 980121023172319
- Jeffry Bowers, D.C.Edmonds, WA 980261952460313
Common questions
What is Sam L. Pettibon, D.O.'s NPI number?
Sam L. Pettibon, D.O.'s National Provider Identifier (NPI) is 1386860492, issued on Apr 17, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Sam L. Pettibon, D.O. located?
The NPPES record lists a practice address at 30804 Pacific Hwy S, Federal Way, WA, 98003. Phone: (253) 839-5644. Providers update this record themselves, so call before visiting.
How can I verify Sam L. Pettibon, D.O.'s license?
NPPES lists Washington license number 2174, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.