Active NPI
Blake Hummel, DPT
- Physical Therapist
- Yakima, WA
National Provider Identifier
1770044737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60924697
- Practice address
- 404 Bridle Way
Yakima, WA 98901-9785 - Phone
- (253) 304-6007
- NPI assigned
- Mar 30, 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 | PT60924697 | WA | Primary |
Addresses
Primary practice location
404 Bridle Way
Yakima, WA 98901-9785
Mailing address
404 Bridle Way
Yakima, WA 98901-9785
Phone (253) 304-6007
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT60924697 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RPM Rehab, Inc | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553904000000",
"number": "1770044737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 BRIDLE WAY",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989019785",
"telephone_number": "253-304-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 BRIDLE WAY",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989019785",
"telephone_number": "253-304-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMMEL",
"first_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-30",
"last_updated": "2019-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60924697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.