Individual provider Active NPI

Dennis Huber

  • Physical Therapy Assistant
  • Everett, WA
National Provider Identifier
1972347383
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P160602612 Issued in WA
Practice address
2825 Colby Ave Ste 204
Everett, WA 98201-3559
Phone
(425) 747-7747
Fax
(425) 747-4951
NPI assigned
Jun 20, 2024
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P160602612 WA Primary

Addresses

Primary practice location

2825 Colby Ave Ste 204
Everett, WA 98201-3559

Mailing address

2825 Colby Ave Ste 204
Everett, WA 98201-3559
Phone (425) 747-7747

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P160602612WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cascades Healthcare LLC CurrentSince Nov 1, 2024 Accepting new patients
A-One Home Health Services, LLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

2825 Colby Ave
Ste 204
Everett, WA 98201
Phone (425) 747-7747

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1972347383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 COLBY AVE STE 204",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013559",
            "telephone_number": "425-747-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 COLBY AVE STE 204",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013559",
            "telephone_number": "425-747-7747",
            "fax_number": "425-747-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "DENNIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160602612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.