Active NPI
Gretchen Hull, PT
- Physical Therapist
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003442
- Practice address
- 4411 Point Fosdick Dr NW Ste 101
Gig Harbor, WA 98335-1703 - Phone
- (253) 851-7472
- Fax
- (253) 851-7473
- NPI assigned
- Jan 5, 2007
- Sex
- Female
- 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 | PT00003442 | WA | Primary |
Addresses
Primary practice location
4411 Point Fosdick Dr NW Ste 101
Gig Harbor, WA 98335-1703
Mailing address
4411 Point Fosdick Dr NW Ste 101
Gig Harbor, WA 98335-1703
Phone (253) 851-7472
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650024857 | Other | RR MC | |
| 8369191 | Medicaid | WA | |
| HU5274 | Other | WA | REGENCE |
| HU5275 | Other | WA | REGENCE TACOMA |
| 128756 | Other | WA | L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6704 Tacoma Mall Blvd
Suite 100
Tacoma, WA 98409-9001
Phone (253) 475-4870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00003442 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
6704 Tacoma Mall Blvd
Ste 100
Tacoma, WA 98409
Phone (253) 475-4870
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1750833844
-
- Physical Therapist
- Tacoma, WA
- NPI 1225582844
-
- Physical Therapist
- Gig Harbor, WA
- NPI 1982755070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1265580484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 POINT FOSDICK DR NW STE 101",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351703",
"telephone_number": "253-851-7472",
"fax_number": "253-851-7473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 POINT FOSDICK DR NW STE 101",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351703",
"telephone_number": "253-851-7472",
"fax_number": "253-851-7473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "GRETCHEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "650024857",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8369191",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "HU5274",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE TACOMA",
"identifier": "HU5275",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "128756",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.