Active NPI
David Allan Hull, PHYSICAL THERAPIST
- Physical Therapist
- Port Orchard, WA
National Provider Identifier
1013432129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00003905
- Practice address
- 4459 SE Mile Hill Dr
Port Orchard, WA 98366-3908 - Phone
- (253) 227-2253
- NPI assigned
- Aug 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00003905 | WA | Primary |
Addresses
Primary practice location
4459 SE Mile Hill Dr
Port Orchard, WA 98366-3908
Mailing address
11207 28TH Street CT NW
Gig Harbor, WA 98335-5857
Phone (253) 227-2253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00003905 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502236800000",
"number": "1013432129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11207 28TH STREET CT NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983355857",
"telephone_number": "253-227-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4459 SE MILE HILL DR",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663908",
"telephone_number": "253-227-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "DAVID",
"middle_name": "ALLAN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-09",
"last_updated": "2017-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00003905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.