Active NPI
Jacob Tanner Hunt, PT
- Physical Therapist
- Moses Lake, WA
National Provider Identifier
1265083349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60981390
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT60981390 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT60981390 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Lake School District | Current | Accepting new patients |
Locations
1620 S Pioneer Way
Moses Lake, WA 98837
Phone (509) 766-2650
Interoperability endpoints
- 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.
-
- Local Education Agency (LEA)
- Moses Lake, WA
- NPI 1386739308
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.