Active NPI
Gregory D Hinkle, LMP
- Mechanotherapist
- Olympia, WA
National Provider Identifier
1083059133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA 60334887
- Practice address
- 2401 Bristol CT SW
Olympia, WA 98502-6003 - Phone
- (360) 888-9268
- NPI assigned
- May 2, 2013
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA 60334887 | WA | Primary |
Addresses
Primary practice location
2401 Bristol CT SW
Olympia, WA 98502-6003
Mailing address
812 C St SW
Tumwater, WA 98512-6349
Phone (360) 888-9373
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60334887 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1083059133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 C ST SW",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985126349",
"telephone_number": "360-888-9373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 BRISTOL CT SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985026003",
"telephone_number": "360-888-9268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINKLE",
"first_name": "GREGORY",
"middle_name": "D",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-02",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA 60334887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.