Individual provider Active NPI

Gregory Charles Huefner, MSPT

  • Physical Therapist
  • Yakima, WA
National Provider Identifier
1346211489
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00006530 Issued in WA
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

Updated by the provider on Feb 14, 2022

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 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

IdentifierTypeStateIssuer
8440414MedicaidWA
1008130MedicaidWA
0202947OtherWADEPT OF LABOR AND INDUSTRIES (L&I)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 SpineGroup PAC ID 5294753588, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Peak Performance Sports and Spine Physical Therapist CurrentSince Nov 1, 2005 Accepting new patients
Pro-Motion Physical Therapy and Functional Fitness P.C. Physical Therapist PastSince Apr 2, 2009 Accepting new patients
RPM Rehab, Inc Physical Therapist PastSince Nov 1, 2005 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.

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.

Verify at the official NPI Registry.