Individual provider Active NPI

Stephen Carl Hinkle, DPT

  • Physical Therapist
  • Sahuarita, AZ
National Provider Identifier
1750489217
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6998 Issued in AZ
Practice address
15920 S Rancho Sahuarita Blvd
Suite 160
Sahuarita, AZ 85629-8014
Phone
(520) 867-8064
Fax
(520) 867-8063
NPI assigned
Sep 20, 2006
Last updated
Aug 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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 6998 AZ Primary

Addresses

Primary practice location

15920 S Rancho Sahuarita Blvd
Suite 160
Sahuarita, AZ 85629-8014

Mailing address

15920 S Rancho Sahuarita Blvd
Suite 160
Sahuarita, AZ 85629-8012
Phone (520) 867-8064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000605 AZ Practitioner - Physical Therapist in Private Practice 6002842994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15920 S Rancho Sahuarita Blvd
Suite 160
Sahuarita, AZ 85629-8014
Phone 52086780642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21240MDMDClinical Social Worker
6998AZMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Massage & Life Fitness, LLC PastSince Dec 1, 2009 Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1750489217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD",
            "address_2": "SUITE 160",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298012",
            "telephone_number": "520-867-8064",
            "fax_number": "520-867-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15920 S RANCHO SAHUARITA BLVD",
            "address_2": "SUITE 160",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298014",
            "telephone_number": "520-867-8064",
            "fax_number": "520-867-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINKLE",
        "first_name": "STEPHEN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.