Individual provider Active NPI

Dustin Allen Huinker, DPT

  • Sports Physical Therapist
  • Elkhorn, NE
National Provider Identifier
1811137359
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
004261 Issued in IA
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

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
099709OtherNEMEDICARE GROUP #
412135956 68022A002OtherNETRIWEST
39960OtherNEBLUE CROSS BLUE SHILEDS
216812OtherNECOVENTRY
10025112300MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908002683 IA Practitioner - Physical Therapist in Private Practice 5890851687 Reassigns benefits to 1 organization

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
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

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

LicenseStateTypeSpecialty
004261IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Jan 1, 2019 Accepting new patients
Mercy Medical Center Current Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2019 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.

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.

Verify at the official NPI Registry.