Active NPI
Gregory Charles Huefner, MSPT
- Physical Therapist
- Yakima, WA
National Provider Identifier
1346211489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00006530
- Practice address
- 2505 Racquet Lane
Yakima, WA 98902-6114 - Phone
- (509) 453-7325
- Fax
- (509) 453-7330
- NPI assigned
- Jan 27, 2006
- 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 | PT00006530 | WA | Primary |
Addresses
Primary practice location
2505 Racquet Lane
Yakima, WA 98902-6114
Mailing address
2505 Racquet Lane
Yakima, WA 98902-6114
Phone (509) 453-7325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8440414 | Medicaid | WA | |
| 1008130 | Medicaid | WA | |
| 0202947 | Other | WA | DEPT OF LABOR AND INDUSTRIES (L&I) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051107000540 | WA | Practitioner - Physical Therapist in Private Practice | 3173541463 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Performance Sports and Spine
Practice addresses (Care Compare)
2505 Racquet LN
Yakima, WA 98902-6114
Phone (509) 453-7325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Sports and Spine | Physical Therapist | Current | Accepting new patients |
| Pro-Motion Physical Therapy and Functional Fitness P.C. | Physical Therapist | Past | Accepting new patients |
| RPM Rehab, Inc | Physical Therapist | Past | Accepting new patients |
Locations
2505 Racquet Ln
Yakima, WA 98902
Phone (509) 453-7325
3904 Terrace Heights Dr
Ste A
Yakima, WA 98901
Phone (509) 453-7325
Organizations & group practices 3
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.
-
- Physical Therapist
- Yakima, WA
- NPI 1134192685
-
- Physical Therapist
- Yakima, WA
- NPI 1174740708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1346211489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 RACQUET LANE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026114",
"telephone_number": "509-453-7325",
"fax_number": "509-453-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 RACQUET LANE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026114",
"telephone_number": "509-453-7325",
"fax_number": "509-453-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEFNER",
"first_name": "GREGORY",
"middle_name": "CHARLES",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00006530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8440414",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008130",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR AND INDUSTRIES (L&I)",
"identifier": "0202947",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.