Active NPI
Brian Daniel Crosier, P.T.
- Physical Therapist
- Bellevue, WA
National Provider Identifier
1184899635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60014182
- Practice address
- 4957 Lakemont Blvd SE
Ste. C-3
Bellevue, WA 98006-7801 - Phone
- (425) 401-8406
- Fax
- (425) 401-8458
- NPI assigned
- Apr 25, 2008
- Last updated
- Jul 16, 2020
- Sex
- Male
- 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 | 60014182 | WA | Primary |
Addresses
Primary practice location
4957 Lakemont Blvd SE
Ste. C-3
Bellevue, WA 98006-7801
Mailing address
2710 S King St
Seattle, WA 98144-2446
Phone (206) 659-6359
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01106212 | Other | WA | RR MEDICARE |
| 1184899635 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60014182 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Physical Therapy | Current | Accepting new patients | |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Seattle, WA
- NPI 1255949178
-
dba TAI Lakemont Physical Therapy
- Physical Therapist
- Bellevue, WA
- NPI 1487630257
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1184899635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 S KING ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981442446",
"telephone_number": "206-659-6359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4957 LAKEMONT BLVD SE",
"address_2": "STE. C-3",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980067801",
"telephone_number": "425-401-8406",
"fax_number": "425-401-8458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSIER",
"first_name": "BRIAN",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-25",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60014182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01106212",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184899635",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.