CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) – Physical Therapist, NPI 1225097942

CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) is a healthcare provider. based in Spokane, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials B.S., P.T., D.P.T.. They hold a License No. PT00009319 (WA). The NPI Number for CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) is 1225097942

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.)
NPI
1225097942
Phone
(509) 456-6917
Address
2507 E 27TH AVE
Enumeration Date
21 March 2006
Last Update Date
11 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094566917
Graduation Year
2003 (23 years ago)
PAC ID
7012981459
Group Practice PAC ID
7810885662
Professional Enrollment ID
I20040823000604
Address ID
WA992234908SP2507XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,542 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.)

  • 2507, East 27th Avenue, Lincoln Heights, Spokane, Spokane County, Washington, 99223, United States

    SPOKANE, WA 992234908

    Phone: (509) 456-6917

    Fax: (509) 456-5902

    Mailing address matches the actual address.

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: 2004-08-23

PECOS data refreshed: 2026-06-15

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
I20040823000604IPhysical Therapist In Private PracticeWATBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes94961$0
97140Therapy procedure using manual technique, each 15 minutes68640$0
97530Therapy procedure using functional activities50647$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes30629$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care16316$0
View full utilization report →

Insurance plans in this area (ZIP 99223)

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Provider's Procedures

CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes1671112

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: 7810885662View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Does CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) uses 1225097942.
Is CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) still practicing?
CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) is currently listed as active in the public NPI registry.
What taxonomy line describes CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.)?
For research purposes, treat CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.) serve?
CRAIG MICHAEL HENNEBERRY (B.S., P.T., D.P.T.)'s listing highlights Spokane, Washington; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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