Individual provider Active NPI

Matthew M Hunkovic, PT, DPT, OCS

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1780660829
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007508 Issued in WA
Practice address
730 NW Gilman Blvd
Ste C108
Issaquah, WA 98027-5326
Phone
(425) 391-6794
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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 PT00007508 WA Primary

Addresses

Primary practice location

730 NW Gilman Blvd
Ste C108
Issaquah, WA 98027-5326

Mailing address

730 NW Gilman Blvd
Ste C108
Issaquah, WA 98027-5326
Phone (425) 391-6794

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
PT00007508WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1780660829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 NW GILMAN BLVD",
            "address_2": "STE C108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275326",
            "telephone_number": "425-391-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 NW GILMAN BLVD",
            "address_2": "STE C108",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275326",
            "telephone_number": "425-391-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNKOVIC",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.