Active NPI
Jeri E Hinman, LMP
- Physical Therapist
- Spokane, WA
National Provider Identifier
1821166893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60156040
- Practice address
- 1605 W Garland Ave
Spokane, WA 99205-2620 - Phone
- (509) 444-8383
- Fax
- (509) 444-8385
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60156040 | WA | Primary |
| Massage Therapist | 225700000X | MA00015317 | WA |
Addresses
Primary practice location
1605 W Garland Ave
Spokane, WA 99205-2620
Mailing address
2521 N Nettleton St
Spokane, WA 99205-3861
Phone (509) 680-2929
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0187957 | Other | WA | LABOR AND INDUSTRIES |
| 3593HI | Other | WA | ASURIS-REGENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60156040 | WA | MD | Physical Therapist |
| MA00015317 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Synergy Healthcare Inc. | Physical Therapist | Past | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108
Organizations & group practices 2
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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Spokane Valley, WA
- NPI 1780741439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1821166893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 N NETTLETON ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992053861",
"telephone_number": "509-680-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 W GARLAND AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992052620",
"telephone_number": "509-444-8383",
"fax_number": "509-444-8385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINMAN",
"first_name": "JERI",
"middle_name": "E",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60156040",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00015317",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0187957",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS-REGENCE",
"identifier": "3593HI",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.