Active NPI
Lucas Charles Hanerhoff, PT, DPT, ATC
- Physical Therapist
- Camas, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.PT.70119694-CP
- Practice address
- 1905 SE 192ND Ave Ste 109
Camas, WA 98607-7415 - Phone
- (360) 210-5440
- Fax
- (360) 210-7731
- NPI assigned
- Feb 21, 2019
- Last updated
- May 7, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-01534 | KS | |
| Physical Therapist | 225100000X | PTL.0020876 | CO | |
| Physical Therapist | 225100000X | PT.PT.70119694-CP | WA | Primary |
Addresses
Primary practice location
1905 SE 192ND Ave Ste 109
Camas, WA 98607-7415
Mailing address
1905 SE 192ND Ave Ste 109
Camas, WA 98607-7415
Phone (360) 210-5440
Other practice location 1
420 E 120th Ave Ste B9
Northglenn, CO 80233-1100
Phone (303) 280-3838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1905 SE 192ND Ave
Suite 109
Camas, WA 98607-7415
Phone (360) 210-5440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0020876 | CO | MD | Physical Therapist |
| PT.PT.70119694-CP | WA | MD | Physical Therapist |
| 24-01534 | KS | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Motion, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1905 SE 192nd Ave
Ste 109
Camas, WA 98607
Phone (360) 210-5440
Organizations & group practices 1
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.
-
dba Fyzical Therapy & Balance Centers
- Physical Therapy Clinic/Center
- Camas, WA
- NPI 1588916894
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1649737149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 SE 192ND AVE STE 109",
"city": "CAMAS",
"state": "WA",
"postal_code": "986077415",
"telephone_number": "360-210-5440",
"fax_number": "360-210-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 SE 192ND AVE STE 109",
"city": "CAMAS",
"state": "WA",
"postal_code": "986077415",
"telephone_number": "360-210-5440",
"fax_number": "360-210-7731"
}
],
"practiceLocations": [
{
"address_1": "420 E 120th Ave Ste B9",
"address_purpose": "LOCATION",
"city": "Northglenn",
"state": "CO",
"postal_code": "802331100",
"country_code": "US",
"telephone_number": "303-280-3838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANERHOFF",
"first_name": "LUCAS",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-21",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-01534",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0020876",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT.PT.70119694-CP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camas, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.