Craig Bryan Faeth, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009306 Issued in WA

Practice address

4411 Point Fosdick Dr Ste 101
Gig Harbor, WA 98335-1703

Phone

(253) 851-7472

NPI assigned

Apr 12, 2006

Last updated

Sep 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abc Physical TherapyGroup PAC ID 2567615131, 5 clinicians

Highline Physical Therapy GroupGroup PAC ID 8820172984, 46 clinicians

Practice addresses (Care Compare)

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.

• Abc Physical Therapy

  dba Alternative Back Care Physical Therapy

  • Physical Therapy Clinic/Center
  • Tacoma, WA
  • NPI 1154377240

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Highline Physical Therapy Group

  dba Highline Therapy Services

  • Physical Therapist
  • Burien, WA
  • NPI 1477797991
  Medicare reassignment Care Compare group NPD
• Northwest Center for Sports Medicine & Physical Therapy Inc

  dba Northwest Sports Physical Therapy

  • Physical Therapist
  • Gig Harbor, WA
  • NPI 1982755070
  Medicare reassignment NPD
• Abc Physical Therapy

  • Physical Therapy Clinic/Center
  • Gig Harbor, WA
  • NPI 1275080301
  NPD
• Highline Physical Therapy Group

  • Physical Therapist
  • Bonney Lake, WA
  • NPI 1255147336
  NPD
• Familycare Physical Therapy

  • Physical Therapist
  • Clinton, WA
  • NPI 1235173576
  NPD (past)
• Northwest Center for Sports Medicine & Physical Therapy, Inc.

  dba Northwest Sports Physical Therapy, Inc.

  • Physical Therapist
  • Tacoma, WA
  • NPI 1225582844
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1205890936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 POINT FOSDICK DR STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351703",
            "telephone_number": "253-851-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAETH",
        "first_name": "CRAIG",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009306",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Estrada
• Nolan Craig Ethridge, D.C.
• Sarahlynn Meliai Etta, LMP
• James Eustace
• Evolve Health Care, LLC
• Myklos Fahey, LMT
• Raed N Fahmy
• Tara Fairfield, ED.D.
• Family Practice of Chiropractic Inc. P.S.
• Katherine Y Fan, M.D.

• Physical Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.