Henrietta Pinkens, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5528 Issued in ME

Practice address

7380 Jewett Rd
Clinton, WA 98236-9408

Phone

(360) 631-3069

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Etta Pinkens, PT, LLC

  • Physical Therapy Clinic/Center
  • Clinton, WA
  • NPI 1962113720

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1154489466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982360042",
            "telephone_number": "360-631-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 JEWETT RD",
            "city": "CLINTON",
            "state": "WA",
            "postal_code": "982369408",
            "telephone_number": "360-631-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKENS",
        "first_name": "HENRIETTA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "3813",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WA",
            "license": "3813",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Ogle, LM, CPM
• Brittany Ann Olsen-Boblitt, M.S., CCC-SLP
• Kristin L Penn, MA LMHC
• Robert William Perkins, DDS
• Pillar Physical Therapy LLC
• June Elizabeth Polasek, L.M.H.C.
• Gail Ptacek, L.AC.
• Billie Risa-Draves, LICSW
• Mariam Ross, LW60276157
• Kimberly Rossi, L.M.P.

• All providers in Clinton, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.