Active NPI
Duncan L Durr, P.T.
- Physical Therapist
- Montesano, WA
National Provider Identifier
1073613618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 00008447
- Practice address
- 508 E Pioneer Ave
Montesano, WA 98563-4606 - Phone
- (360) 249-4185
- Fax
- (360) 249-4195
- NPI assigned
- Sep 24, 2006
- 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 | PT 00008447 | WA | Primary |
Addresses
Primary practice location
508 E Pioneer Ave
Montesano, WA 98563-4606
Mailing address
PO Box 559
McCleary, WA 98557-0559
Phone (360) 249-4185
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00290702 | Other | MEDICARE RR # | |
| 177485 | Other | WA | LABOR & INDUSTRIES |
| 2765DU | Other | REGENCE RIDER | |
| 8363913 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
508 E Pioneer Ave
Montesano, WA 98563-4606
508 Pioneer Ave E
Montesano, WA 98563-4606
Phone (360) 249-4185
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 00008447 | WA | MD | Physical Therapist |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Montesano, WA
- NPI 1083711253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1073613618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 559",
"city": "MCCLEARY",
"state": "WA",
"postal_code": "985570559",
"telephone_number": "360-249-4185",
"fax_number": "360-249-4195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 E PIONEER AVE",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985634606",
"telephone_number": "360-249-4185",
"fax_number": "360-249-4195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURR",
"first_name": "DUNCAN",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT 00008447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR #",
"identifier": "P00290702",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "177485",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER",
"identifier": "2765DU",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8363913",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.