Active NPI
Chad Hines, CTRS/R
- Recreation Therapist
- Tacoma, WA
National Provider Identifier
1225504772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 60290676
- Practice address
- 815 S Pearl St
Tacoma, WA 98465-2117 - Phone
- (253) 396-5936
- NPI assigned
- Oct 22, 2018
- 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 |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 60290676 | WA | Primary |
Addresses
Primary practice location
815 S Pearl St
Tacoma, WA 98465-2117
Mailing address
815 S Pearl St
Tacoma, WA 98465-2117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60290676 | Medicaid | WA |
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 |
|---|---|---|---|
| 60290676 | WA | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1225504772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 S PEARL ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984652117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 S PEARL ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984652117",
"telephone_number": "253-396-5936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINES",
"first_name": "CHAD",
"credential": "CTRS/R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-22",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "WA",
"license": "60290676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60290676",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.