Individual provider Active NPI

Justin Degenhardt, DPT

  • Physical Therapist
  • Auburn, WA
National Provider Identifier
1376192039
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24380 Issued in MA
Practice address
720 12TH St SE
Auburn, WA 98002-6708
Phone
(253) 735-3606
Fax
(253) 351-9807
NPI assigned
Sep 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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 24380 MA Primary

Addresses

Primary practice location

720 12TH St SE
Auburn, WA 98002-6708

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

259 Elm St
Somerville, MA 02144-2950
Phone (617) 623-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA, CA, TX, OR, CO6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20190911000628 MA Practitioner - Physical Therapist in Private Practice 7416286844 Reassigns benefits to 1 organization
I20230725003783 WA Practitioner - Physical Therapist in Private Practice 7416286844 Reassigns benefits to 1 organization
I20231113003545 CA Practitioner - Physical Therapist in Private Practice 7416286844 Reassigns benefits to 2 organizations
I20241120002475 TX Practitioner - Physical Therapist in Private Practice 7416286844 Reassigns benefits to 1 organization
I20250603002118 OR Practitioner - Physical Therapist in Private Practice 7416286844 Reassigns benefits to 1 organization
I20260130000910 CO Practitioner - Physical Therapist in Private Practice 7416286844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chehalem Physical Therapy, Inc. CurrentSince May 19, 2025 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Dec 30, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Monterey Spine & Joint PC CurrentSince Nov 13, 2023 Accepting new patients
Southern Colorado Health & Rehab CurrentSince Feb 19, 2026 Accepting new patients
Winslow Indian Health Care Center, Inc Current Accepting new patients
H.D.P.R.G., Inc Physical Therapist CurrentSince Nov 23, 2025 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Southern Colorado Health & Rehab Physical Therapist CurrentSince Feb 19, 2026 Accepting new patients
Boston Sports Medicine Inc Physical Therapist CurrentSince Apr 5, 2021 Accepting new patients
Monterey Spine & Joint PC CurrentSince Nov 13, 2023 Accepting new patients
Dilkon Medical Center CurrentSince Dec 30, 2024 Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

500 Indiana Ave
Winslow, AZ 86047

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

5930 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-1743

56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743

1275 W Pueblo Blvd
Pueblo, CO 81004
Phone (719) 542-0589

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

259 Elm St
Ste 204
Somerville, MA 02144
Phone (617) 623-6300

14 McGrath Hwy
Somerville, MA 02143
Phone (617) 623-4500

118 N Everest St
Newberg, OR 97132
Phone (503) 538-8952

720 12th St SE
Auburn, WA 98002
Phone (253) 735-3606

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: justin.degenhardt.p1@direct.msjhealth.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/11813/brand/1/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Colorado Health and Rehab 9 clinicians
H D P R G Inc 16 clinicians

Practice addresses (Care Compare)

1275 W Pueblo Blvd
Pueblo, CO 81004-3866
Phone (719) 542-0589

5930 Adobe Rd
Twentynine Palms, CA 92277-2356
Phone (760) 367-1743

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1376192039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 12TH ST SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026708",
            "telephone_number": "253-735-3606",
            "fax_number": "253-351-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 Elm St",
            "address_purpose": "LOCATION",
            "city": "Somerville",
            "state": "MA",
            "postal_code": "021442950",
            "country_code": "US",
            "telephone_number": "617-623-6300",
            "fax_number": "617-623-4224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGENHARDT",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-05",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.