Individual provider Active NPI

Gregory J Helgath, PT

  • Physical Therapist
  • Lynden, WA
National Provider Identifier
1306832548
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00002701 Issued in WA
Practice address
210 Third St
Lynden, WA 98264-1411
Phone
(360) 354-3030
Fax
(360) 354-1013
NPI assigned
Sep 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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 PT00002701 WA Primary

Addresses

Primary practice location

210 Third St
Lynden, WA 98264-1411

Mailing address

210 Third St
Lynden, WA 98264-1411
Phone (360) 354-3030

Other identifiers 1

IdentifierTypeStateIssuer
7059199MedicaidWA

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1306832548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 THIRD ST",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641411",
            "telephone_number": "360-354-3030",
            "fax_number": "360-354-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 THIRD ST",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641411",
            "telephone_number": "360-354-3030",
            "fax_number": "360-354-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELGATH",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7059199",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.