Individual provider Active NPI

Justin William Bingman, DPT

  • Physical Therapist
  • Kennewick, WA
National Provider Identifier
1073282265
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP007853T Issued in WA
Practice address
3810 Plaza Way
Kennewick, WA 99338-2722
Phone
(509) 221-7000
NPI assigned
Sep 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP007853T WA Primary

Addresses

Primary practice location

3810 Plaza Way
Kennewick, WA 99338-2722

Mailing address

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714003024 WA Practitioner - Physical Therapist in Private Practice 7517327083 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP007853TWAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RCCH Trios Health LLC CurrentSince May 24, 2023 Accepting new patients

Locations

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1073282265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382722",
            "telephone_number": "509-221-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 PLAZA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382722",
            "telephone_number": "509-221-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGMAN",
        "first_name": "JUSTIN",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-10",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "CP007853T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.