Brianna Noelle Elrod, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.61420784 Issued in WA

Practice address

6985 Coal Creek Pkwy SE
Newcastle, WA 98059-3136

Phone

(425) 378-0500

Fax

(425) 378-8168

NPI assigned

Jul 18, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Brianna Noelle Ambrose Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Functional Health Consulting LLCGroup PAC ID 1759560709, 36 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.33 of 100Reported as group

Quality

88.06

Improvement activities

40

Cost

76.31

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Functional Health Consulting, LLC

  dba Vida Integrated Health

  • Sports Physician Chiropractor
  • Seattle, WA
  • NPI 1871801522
  Medicare reassignment Care Compare group NPD
• Functional Health Consulting, LLC

  dba Vida Integrated Health

  • Chiropractor
  • Renton, WA
  • NPI 1598548877
  NPD
• Functional Health Consulting, LLC

  dba Vida Intagrated Health

  • Sports Physician Chiropractor
  • Kirkland, WA
  • NPI 1790261444
  NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1073293718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6985 COAL CREEK PKWY SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593136",
            "telephone_number": "425-378-0500",
            "fax_number": "425-378-8168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3707 Providence Point Dr SE Ste D",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980296216",
            "country_code": "US",
            "telephone_number": "425-620-4384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELROD",
        "first_name": "BRIANNA",
        "middle_name": "NOELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.61420784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "AMBROSE",
            "middle_name": "NOELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jauna Rae Demott, LMP
• Aditi Dhar, M.D
• David Asher Drimmer, MD
• Julie Dunnwald, LICSW, PHD
• Kayla Ellison, M.ED., BCBA
• Erica Yang, DDS, PLLC
• Erin Heintzelman Therapy, LLC
• Arthur G Faulmann III
• Kristy Marie Fisher, MA, LMFTA
• Andrea Meredith Fonner, DDS

• Physical Therapist in Newcastle, WA
• Providers in Newcastle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.