ADDISON GRAE HUCK (DPT) – Physical Therapist, NPI 1124788013

ADDISON GRAE HUCK (DPT) is a healthcare provider. based in North las vegas, Nevada. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 4729 (NV). The NPI Number for ADDISON GRAE HUCK (DPT) is 1124788013

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ADDISON GRAE HUCK (DPT)
NPI
1124788013
Phone
(702) 360-9142
Address
1550 W Craig Rd Ste 210
Enumeration Date
20 December 2021
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9702244141
Graduation Year
2021 (5 years ago)
PAC ID
9436542503
Group Practice PAC ID
8022190826
Professional Enrollment ID
I20230412002152
Address ID
CO805261887FO1024XAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

880 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NV

Provider Addresses for ADDISON GRAE HUCK (DPT)

  • 1550 W Craig Rd Ste 210

    North Las Vegas, NV 890320329

    Phone: (702) 360-9142

    Fax: (702) 649-0147

    Type: Location

  • 245 E CENTENNIAL PKWY APT 1068

    NORTH LAS VEGAS, NV 890841358

    Phone: (303) 598-0676

    Type: Mailing

  • 1550 W CRAIG RD STE 210

    NORTH LAS VEGAS, NV 890320329

    Phone: (702) 360-9142

    Fax: (702) 649-0147

    Type: Location

  • 1024 CENTRE AVE STE 100

    FORT COLLINS, CO 805261887

    Phone: (970) 224-4141

    Fax: (970) 797-1227

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230412002152IPhysical Therapist In Private PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities96983$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes23872$0
97150Therapy procedure in a group setting15255$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13152$0
97140Therapy procedure using manual technique, each 15 minutes10734$0
View full utilization report →

Insurance plans in this area (ZIP 89032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022190826View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO
-CO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

How do payers reference ADDISON GRAE HUCK (DPT)?
For ADDISON GRAE HUCK (DPT), use NPI 1124788013 as the unique 10-digit identifier.
Active or inactive — what applies to ADDISON GRAE HUCK (DPT)?
You should see ADDISON GRAE HUCK (DPT) as active in CMS-hosted NPPES data.
How would a patient describe ADDISON GRAE HUCK (DPT)'s focus?
For ADDISON GRAE HUCK (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Nevada is ADDISON GRAE HUCK (DPT) registered?
Use North Las Vegas, Nevada as the headline location for ADDISON GRAE HUCK (DPT) here.
Does ADDISON GRAE HUCK (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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