NPIMap

Individual provider Active NPI

Rhonda Kay Hynes, PT

  • Physical Therapist
  • Corvallis, OR
National Provider Identifier
1528045010
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1866 Issued in OR
Practice address
2865 NW 29TH St
Corvallis, OR 97330-3516
Phone
(541) 752-0083
Fax
(541) 752-9624
NPI assigned
Dec 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1866 OR Primary
Physical Therapist 225100000X 102 ID
Physical Therapist 225100000X 741064032401 UT

Addresses

Primary practice location

2865 NW 29TH St
Corvallis, OR 97330-3516

Mailing address

2865 NW 29TH St
Corvallis, OR 97330-3516
Phone (541) 752-0083

Other identifiers 1

IdentifierTypeStateIssuer
071808MedicaidOR

Other names 1

  • Phonda Kay Jensen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102IDMDPhysical Therapist
1866ORMDPhysical Therapist
741064032401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Corvallis Sport and Spine Physical Therapy Inc Physical Therapist PastSince Jan 6, 2005 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Corvallis Sport and Spine Physical Therapy Inc Physical Therapist Past Accepting new patients

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1528045010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 NW 29TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303516",
            "telephone_number": "541-752-0083",
            "fax_number": "541-752-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 NW 29TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303516",
            "telephone_number": "541-752-0083",
            "fax_number": "541-752-9624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYNES",
        "first_name": "RHONDA",
        "middle_name": "KAY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "1866",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "102",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "741064032401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071808",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHONDA",
            "last_name": "JENSEN",
            "middle_name": "KAY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.