Active NPI
Dustin Allen Huinker, DPT
- Sports Physical Therapist
- Elkhorn, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 004261
- Practice address
- 1908 N 203Rd St
Suite #3
Elkhorn, NE 68022-2889 - Phone
- (402) 289-5013
- Fax
- (402) 289-5018
- NPI assigned
- Feb 24, 2009
- 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 |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 004261 | IA | Primary |
Addresses
Primary practice location
1908 N 203Rd St
Suite #3
Elkhorn, NE 68022-2889
Mailing address
400 Collins Rd NE Ms: 154 100
Cedar Rapids, IA 52498-0505
Phone (319) 295-8899
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099709 | Other | NE | MEDICARE GROUP # |
| 412135956 68022A002 | Other | NE | TRIWEST |
| 39960 | Other | NE | BLUE CROSS BLUE SHILEDS |
| 216812 | Other | NE | COVENTRY |
| 10025112300 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5264 Council St NE
Suite 300
Cedar Rapids, IA 52402-2472
Phone (319) 398-6020
701 10TH St SE
Cedar Rapids, IA 52403-1251
701 10TH St SE
Cedar Rapids, IA 52403-1292
701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004261 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Past | Accepting new patients | |
| Stodden Physical Therapy,LLC | Past | Accepting new patients |
Locations
2120 Edgewood Rd SW
Cedar Rapids, IA 52404
Phone (319) 398-6006
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
5264 Council St NE
Cedar Rapids, IA 52402
Phone (319) 221-8444
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1700834165
-
- Community/Retail Pharmacy
- Cedar Rapids, IA
- NPI 1114923513
-
- Cardiovascular Disease Physician
- Cedar Rapids, IA
- NPI 1669617106
-
- Specialist
- Gretna, NE
- NPI 1013031285
-
- Physical Therapist
- Cedar Rapids, IA
- NPI 1407075096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1811137359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 COLLINS RD NE MS: 154 100",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524980505",
"telephone_number": "319-295-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 N 203RD ST",
"address_2": "SUITE #3",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222889",
"telephone_number": "402-289-5013",
"fax_number": "402-289-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUINKER",
"first_name": "DUSTIN",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-24",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "IA",
"license": "004261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "099709",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "412135956 68022A002",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHILEDS",
"identifier": "39960",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "216812",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025112300",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.