Individual provider Active NPI

Ciera Joy Brecto, PTA

  • Physical Therapy Assistant
  • Seattle, WA
National Provider Identifier
1033742804
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
61002244 Issued in WA
Practice address
1455 NW Leary Way Ste 150
Seattle, WA 98107-5140
Phone
(206) 782-0218
Fax
(206) 782-1892
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 61002244 WA Primary

Addresses

Primary practice location

1455 NW Leary Way Ste 150
Seattle, WA 98107-5140

Mailing address

1455 NW Leary Way Ste 150
Seattle, WA 98107-5140
Phone (206) 782-0218

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
61002244WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians PastSince Feb 23, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1033742804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075140",
            "telephone_number": "206-782-0218",
            "fax_number": "206-782-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 150",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075140",
            "telephone_number": "206-782-0218",
            "fax_number": "206-782-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECTO",
        "first_name": "CIERA",
        "middle_name": "JOY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "61002244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.