Active NPI
Brady Tsukamaki, DPT
- Physical Therapist
- Mill Creek, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60473487
- Practice address
- 15906 Mill Creek Blvd Ste 106
Mill Creek, WA 98012-1797 - Phone
- (425) 332-1030
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60473487 | WA | Primary |
Addresses
Primary practice location
15906 Mill Creek Blvd Ste 106
Mill Creek, WA 98012-1797
Mailing address
1717 157TH St SW Unit B
Lynnwood, WA 98087-2514
Phone (303) 725-9522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15906 Mill Creek Blvd
Suite 106
Mill Creek, WA 98012-1797
Phone (425) 332-1030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885
9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327
3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621
15906 Mill Creek Blvd
Ste 106
Mill Creek, WA 98012
Phone (425) 332-1030
12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110
17223 Avondale Way NE
Redmond, WA 98052
Phone (425) 403-0232
Organizations & group practices 4
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.
-
dba Summit Rehab
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Physical Therapist
-
dba Cascade Rehabilitation
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
- Physical Therapist
- Mukilteo, WA
- NPI 1770359010
-
- Physical Therapist
- Everett, WA
- NPI 1760374771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1164288650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 157TH ST SW UNIT B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980872514",
"telephone_number": "303-725-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15906 MILL CREEK BLVD STE 106",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121797",
"telephone_number": "425-332-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUKAMAKI",
"first_name": "BRADY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60473487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.