Individual provider Active NPI

Jacob Tanner Hunt, PT

  • Physical Therapist
  • Moses Lake, WA
National Provider Identifier
1265083349
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60981390 Issued in WA
Practice address
1620 S Pioneer Way
Moses Lake, WA 98837-2487
Phone
(509) 766-2670
Fax
(509) 766-2689
NPI assigned
Sep 20, 2019
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60981390 WA Primary

Addresses

Primary practice location

1620 S Pioneer Way
Moses Lake, WA 98837-2487

Mailing address

1620 S Pioneer Way
Moses Lake, WA 98837-2487
Phone (509) 766-2670

Other identifiers 1

IdentifierTypeStateIssuer
PT60981390MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address THUNT@MLSD161.ORG Moses Lake School District
Direct Messaging Address THUNT@MLSD161.ORG Moses Lake School District

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

LicenseStateTypeSpecialty
PT60981390WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Lake School District CurrentSince Sep 25, 2019 Accepting new patients

Locations

1620 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 766-2650

Interoperability endpoints

  • Direct secure messaging: thunt@mlsd161.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1265083349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-766-2670",
            "fax_number": "509-766-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-766-2670",
            "fax_number": "509-766-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "JACOB",
        "middle_name": "TANNER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60981390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT60981390",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "THUNT@MLSD161.ORG",
            "affiliation": "Y",
            "affiliationName": "Moses Lake School District",
            "address_1": "1620 S. Pioneer Way",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "THUNT@MLSD161.ORG",
            "affiliation": "Y",
            "affiliationName": "Moses Lake School District",
            "address_1": "1620 S. Pioneer Way",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.