Individual provider Active NPI

Grant Patrick Hennington, DPT

  • Physical Therapy Clinic/Center
  • Seattle, WA
National Provider Identifier
1104172295
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT60287549 Issued in WA
Practice address
2303 W Commodore Way Ste 204
Seattle, WA 98199-1261
Phone
(206) 657-7546
Fax
(206) 260-7333
NPI assigned
Jul 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60287549 WA
Physical Therapy Clinic/Center 261QP2000X PT60287549 WA Primary

Addresses

Primary practice location

2303 W Commodore Way Ste 204
Seattle, WA 98199-1261

Mailing address

2303 W Commodore Way Ste 204
Seattle, WA 98199-1261
Phone (206) 657-7546

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000543 WA Practitioner - Physical Therapist in Private Practice 0244488229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald City Physical Therapy SVCS LLCGroup PAC ID 0547442469, 20 clinicians

Practice addresses (Care Compare)

2303 W Commodore Way
Suite 204
Seattle, WA 98199-1261
Phone (206) 657-7546

6500 6TH Ave NW
Suite a
Seattle, WA 98117-5099
Phone (206) 789-8869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60287549WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sahale Physical Therapy, LLC Physical Therapy CurrentSince Jan 1, 2026 Accepting new patients

Locations

2303 W Commodore Way
Ste 204
Seattle, WA 98199
Phone (206) 657-7546

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1104172295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 W COMMODORE WAY STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991261",
            "telephone_number": "206-657-7546",
            "fax_number": "206-260-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 W COMMODORE WAY STE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981991261",
            "telephone_number": "206-657-7546",
            "fax_number": "206-260-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNINGTON",
        "first_name": "GRANT",
        "middle_name": "PATRICK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60287549",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT60287549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.

Verify at the official NPI Registry.