BRIAN A THACKER (NPI# 1376536243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376536243 |
| Entity Type | Individual |
| Full Name | BRIAN A THACKER |
| Credential | DPT, OCS, SCS, COMT |
| Practice Address |
17520 Meridian E Ste F Puyallup WA 98375-6265 |
| Mailing Address |
Po Box 24283 Seattle WA 98124-0283 |
| Practice Telephone | 2538647595 |
| Practice Fax Number | 2538640457 |
| Mailing Telephone | 2535815200 |
| Mailing Fax Number | 2535815203 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT00007968 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I PROVIDER ID | 306726 | 01 |
| WA | 7092208 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275037145 | Brian James Thacker | Student in an Organized Health Care Education/Training Program | 475 W 940 N, Provo, UT 84604-3301 | 2018-03-23 |
| Street Address |
17520 MERIDIAN E STE F |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98375-6265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144685306 | Olympic Sports and Spine Rehabilitation, P.s. | Massage Therapist | 17520 Meridian E, Suite F, Puyallup, WA 98375-6265 | 2015-12-15 |
| 1760428429 | Denis D Beaulieu | Physical Therapist | 17520 Meridian E, Suite F, Puyallup, WA 98375-6265 | 2006-06-21 |
| 1831133099 | Robert Portello | Massage Therapist | 17520 Meridian E, Suite F, Puyallup, WA 98375-6265 | 2006-06-16 |
| 1730129115 | Shawn W Mcewen | Physical Therapist | 17520 Meridian E, Suite F, Puyallup, WA 98375-6265 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673817 | Cheryl Dann | Registered Nurse | 7224 Pacific Highway E, Milton, WA 98375 | 2019-11-07 |
| 1326554601 | Jasmanpreet Kaur Sidhu | Nurse's Aide | 17003 83rd Ave Cte, Puyallup, WA 98375 | 2017-12-21 |
| 1295257137 | Rafael Martin Morones IIi | Registered Nurse | 17802 87th Ave E, Puyallup, WA 98375 | 2017-07-12 |
| 1467990556 | Tessa D Parker | Massage Therapist | 17528 Meridian E Suite 207, Puyallup, WA 98375 | 2017-02-08 |
| 1144674326 | June Park | Social Worker | 9414 185th Street Ct E, Puyallup, WA 98375 | 2016-04-14 |
| 1417384348 | Washington Dental Corporation, PC | Dentist | 16810 Meridian East Suite J107, Puyallup, WA 98375 | 2013-10-10 |
| 1861825663 | L&t Chinese Medicine LLC | Acupuncturist | 16515 Meridian E., Ste. 200b, Puyallup, WA 98375 | 2013-08-15 |
| 1508110081 | Jennifer Gillings | Speech-Language Pathologist | 17418 74th Ave E, Puyallup, WA 98375 | 2012-11-05 |
| 1275887267 | Andrew Nelson Smith | Pharmacist | 14308 Meridian Ave E., Puyallup, WA 98375 | 2012-10-30 |
| 1538440714 | Zorawar Singh | Dentist | 16810 Meridian E Suite J107, Puyallup, CA 98375 | 2011-09-01 |
| Find all providers in zip 98375 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460142 | Hybrid Fitness & Physio | Physical Therapist | 13207 97th Ave E Unit 302, Puyallup, WA 98373-9508 | 2020-06-07 |
| 1912533977 | Jonathon May | Physical Therapist | 4102 S Meridian Ste E5, Puyallup, WA 98373-5962 | 2020-03-20 |
| 1770061319 | Brigette Schwimmer | Physical Therapist | 2930 S Meridian Ste 120, Puyallup, WA 98373-1654 | 2018-08-06 |
| 1508318973 | Sierra Keltner | Physical Therapist | 18124 70th Avenue Ct E, Puyallup, WA 98375-1834 | 2016-11-01 |
| 1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
| 1780040865 | Tara Ann Schmidt | Physical Therapist | 16222 Meridian E Ste 101, Puyallup, WA 98375-6332 | 2016-01-05 |
| 1902284383 | Stephanie Daugherty | Physical Therapist | 8718 133rd Street Ct E, Puyallup, WA 98373-5548 | 2015-05-18 |
| 1902298623 | Steven Swanson | Physical Therapist | 702 S Hill Park Dr Ste 101, Puyallup, WA 98373-1426 | 2015-03-04 |
| 1659798601 | Leah Divinagracia | Physical Therapist | 7903 151st St E, Puyallup, WA 98375-8439 | 2014-03-26 |
| 1720400336 | Adam Schetselaar | Physical Therapist | 4102 S Meridian, Ste E5, Puyallup, WA 98373-5962 | 2014-01-16 |
| Find all providers in PUYALLUP | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.