Mark Hinderaker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61097548 Issued in WA

Practice address

120 Lakeside Ave Ste 210
Seattle, WA 98122-6534

Phone

(206) 925-3762

NPI assigned

Sep 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tuohy Physical Therapy LLCGroup PAC ID 2264577550, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tuohy Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Redmond, WA
  • NPI 1336471143
  Medicare reassignment Care Compare group NPD
• Cascade Dizziness Physical Therapy PLLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1073948378
  Medicare reassignment NPD

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1780299750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAKESIDE AVE STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226534",
            "telephone_number": "206-925-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LAKESIDE AVE STE 210",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226534",
            "telephone_number": "206-925-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDERAKER",
        "first_name": "MARK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61097548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori A Hiltz, LICSW
• Darian Himes, RN
• Sarah Talia Himmelfarb, MD
• Michele R. Hinatsu, ARNP
• Muhammad Rio Hindami
• Brenna Hindman
• Autumn Forie Hinds
• John P Hinds, MD
• Theresa L Hineline, MD
• Danielle Monique Hineman, CPNP-AC

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.