Dustin Scott Hendricks, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60897531 Issued in WA

Practice address

3502 S 12TH St Ste B
Tacoma, WA 98405-2279

Phone

(253) 564-2220

Fax

(253) 564-2221

NPI assigned

Nov 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abc Physical TherapyGroup PAC ID 2567615131, 5 clinicians

Tuohy Physical Therapy LLCGroup PAC ID 2264577550, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Abc Physical Therapy

  • Physical Therapy Clinic/Center
  • Tacoma, WA
  • NPI 1154377240

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Tuohy Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Redmond, WA
  • NPI 1336471143
  Medicare reassignment Care Compare group NPD
• Washington Luna Care Physical Therapy LLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1346808052
  Medicare reassignment NPD
• King County Public Hospital District No 2

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment
• Abc Physical Therapy

  • Physical Therapy Clinic/Center
  • Gig Harbor, WA
  • NPI 1275080301
  NPD
• King County Public Hospital District No. 2

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1144799529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 S 12TH ST STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052279",
            "telephone_number": "253-564-2220",
            "fax_number": "253-564-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 S 12TH ST STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052279",
            "telephone_number": "253-564-2220",
            "fax_number": "253-564-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3309 56th St NW Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gig Harbor",
            "state": "WA",
            "postal_code": "983358580",
            "country_code": "US",
            "telephone_number": "253-564-2220",
            "fax_number": "253-564-2221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "DUSTIN",
        "middle_name": "SCOTT",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60897531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Antoinette Henderson, MHT
• Susanne Noel Henderson, ARNP
• Onya Hendicks
• Amanda Joanne Hendricks, L.P.N.
• Brandon James Edward Hendricks, LMP
• Larry H Hendricks
• Martin J. Hendricks, PA-C, ATC
• Cinthia Hendrickson
• Clark Hendrickson, CRNA
• David Pierce Hendrickson, D.C.

• Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.