PHILLIP TROY HENNING (DO) – Physical Medicine & Rehabilitation Physician, NPI 1013017060

PHILLIP TROY HENNING (DO) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICAL MEDICINE AND REHABILITATION, SPORTS MEDICINE. They hold the professional credentials DO. They hold a License No. OP00002223 (WA). The NPI Number for PHILLIP TROY HENNING (DO) is 1013017060

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP TROY HENNING (DO)
NPI
1013017060
Phone
(206) 320-4476
Address
PO BOX 25608
Enumeration Date
22 September 2006
Last Update Date
1 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
0345312625
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20170601001193
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
phenning1041887@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness85
Years active:19State licenses:5Other namesUpdated within 12 months

319 PHYSICAL MEDICINE AND REHABILITATION in WA

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Provider Addresses for PHILLIP TROY HENNING (DO)

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 568-7043

    Type: Mailing

  • Jefferson Building, 1600, East Jefferson Street, Central District, Seattle, King County, Washington, 98122, United States

    STE 300

    SEATTLE, WA 981225698

    Phone: (425) 498-2272

    Fax: (425) 498-2334

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2023-10-30 • Largest payer in this snapshot: GE HealthCare ($182).

Total Amount

$182

General + Research + Ownership

Payments

4

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GE HealthCare$182
View all Open Payments →|Open Payments Risk Radar →

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: 2017-06-01

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
I20170601001193IPhysical Medicine And RehabilitationWATBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg29585$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance15282$0
99214Established patient office or other outpatient visit, 30-39 minutes12897$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose10721$0
76881Complete ultrasound scan of joint8176$0
View full utilization report →

Insurance plans in this area (ZIP 84125)

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Provider's Procedures

PHILLIP TROY HENNING (DO) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOWA20610Aspiration and/or injection of large joint or joint capsule2624
PHYSICAL MEDICINE AND REHABILITATIOWA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle9266

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: 9032020490View full group profile
NameSpecialtyState
Physician AssistantVA
Internal MedicineCA
Internal MedicineVA
Family PracticeWA
Internal MedicineVA
Family PracticeWA
Internal MedicineWA
Family PracticeWA
Family PracticeGA
Orthopedic SurgeryIL

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Frequently asked questions

How do I look up PHILLIP TROY HENNING (DO) by NPI?
Use NPI 1013017060 when you need to reference PHILLIP TROY HENNING (DO) in forms, claims, or directories.
Does this profile mean PHILLIP TROY HENNING (DO) is currently active?
Yes — PHILLIP TROY HENNING (DO) appears active in the national provider directory.
What does PHILLIP TROY HENNING (DO) treat or focus on?
Patients typically see PHILLIP TROY HENNING (DO) under the specialty Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What location shows for PHILLIP TROY HENNING (DO)?
We surface Salt Lake City, Utah for PHILLIP TROY HENNING (DO) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.