Active NPI
Justin Degenhardt, DPT
- Physical Therapist
- Auburn, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24380
- 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
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 | 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, CO
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chehalem Physical Therapy, Inc. | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Southern Colorado Health & Rehab | Current | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Current | Accepting new patients | |
| H.D.P.R.G., Inc | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Southern Colorado Health & Rehab | Physical Therapist | Current | Accepting new patients |
| Boston Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
| Monterey Spine & Joint PC | Current | Accepting new patients | |
| Dilkon Medical Center | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- justin.degenhardt.p1@direct.msjhealth.nextgenshare.com
- 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.
-
- Speech-Language Pathologist
- Twentynine Palms, CA
- NPI 1295886067
CA, Physical Therapist
-
- Physical Therapist
- Pueblo, CO
- NPI 1295198067
CO, Physical Therapist
-
- Physical Therapist
- Auburn, WA
- NPI 1902808470
-
- Physical Medicine & Rehabilitation Physician
- Newberg, OR
- NPI 1164497111
OR
-
- Federal Public Health Clinic/Center
- Winslow, AZ
- NPI 1184729493
TX
-
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
- Federal Public Health Clinic/Center
- Dilkon, AZ
- NPI 1306016126
-
- Orthopaedic Surgery of the Spine Physician
- Salinas, CA
- NPI 1942885835
-
- Physical Therapy Clinic/Center
- Pueblo, CO
- NPI 1093322547
-
- Land Ambulance
- Winslow, AZ
- NPI 1477827368
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 RehabH D P R G Inc
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 100
- 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.