Individual provider Active NPI

Christopher David Hughen

  • Physical Therapist
  • Gig Harbor, WA
National Provider Identifier
1467172767
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61310699 Issued in WA
Practice address
5160 Borgen Blvd Ste 101
Gig Harbor, WA 98332-8809
Phone
(253) 853-4000
Fax
(253) 853-4001
NPI assigned
Aug 29, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 PT61310699 WA Primary

Addresses

Primary practice location

5160 Borgen Blvd Ste 101
Gig Harbor, WA 98332-8809

Mailing address

5160 Borgen Blvd Ste 101
Gig Harbor, WA 98332-8809
Phone (253) 853-4000

Other identifiers 1

IdentifierTypeStateIssuer
PT61310699OtherWALICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL prosportwa.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220930002404 WA Practitioner - Physical Therapist in Private Practice 6204212079 Reassigns benefits to 1 organization
I20241002004230 NM Practitioner - Physical Therapist in Private Practice 6204212079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Solutions Therapy Serv IncGroup PAC ID 9638132830, 9 clinicians

Practice addresses (Care Compare)

3901 Singer Blvd NE
Suite B
Albuquerque, NM 87109-5846
Phone (505) 286-7838

403 W Stanley St
Granite Falls, WA 98252-8631
Phone (360) 691-4835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT61310699WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Solutions Therapy Serv Inc Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Active Solutions Therapy Services, Inc Physical Therapist Past Accepting new patients
Therapy One Inc Physical Therapist PastSince Sep 5, 2007 Accepting new patients

Locations

3901 Georgia St NE
Bldg F
Albuquerque, NM 87110
Phone (505) 286-7838

3901 Singer Blvd NE
Ste B
Albuquerque, NM 87109
Phone (505) 280-0079

4101 Paseo del Norte NE
Ste 1
Albuquerque, NM 87113
Phone (505) 286-7838

1 Linnie Ct
Edgewood, NM 87015
Phone (505) 286-7838

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1467172767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 BORGEN BLVD STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328809",
            "telephone_number": "253-853-4000",
            "fax_number": "253-853-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 BORGEN BLVD STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328809",
            "telephone_number": "253-853-4000",
            "fax_number": "253-853-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61310699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT61310699",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "prosportwa.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "5160 Borgen Blvd Ste 101",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983328809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.