Active NPI
Jessica Hua, DPT
- Physical Therapist
- Vancouver, WA
National Provider Identifier
1124506977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60797098
- Practice address
- 200 NE Mother Joseph PL Ste 100
Vancouver, WA 98664-3292 - Phone
- (360) 514-2048
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62428 | OR | |
| Physical Therapist | 225100000X | PT60797098 | WA | Primary |
Addresses
Primary practice location
200 NE Mother Joseph PL Ste 100
Vancouver, WA 98664-3292
Mailing address
200 NE Mother Joseph PL Ste 100
Vancouver, WA 98664-3292
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 |
|---|---|---|---|
| 62428 | OR | MD | Physical Therapist |
| PT60797098 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1124506977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NE MOTHER JOSEPH PL STE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643292",
"telephone_number": "360-514-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUA",
"first_name": "JESSICA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62428",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60797098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.