Active NPI
Breeanna R Pumper, PT
- Physical Therapist
- Mill Creek, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009911
- Practice address
- 16030 Bothell Everett Hwy Ste 200
Mill Creek, WA 98012-1273 - Phone
- (425) 745-4910
- Fax
- (425) 338-5709
- NPI assigned
- Jul 2, 2006
- 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 | PT00009911 | WA | Primary |
Addresses
Primary practice location
16030 Bothell Everett Hwy Ste 200
Mill Creek, WA 98012-1273
Mailing address
16030 Bothell Everett Hwy Ste 200
Mill Creek, WA 98012-1273
Phone (425) 745-4910
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Bellevue, WA 98006
Phone (866) 525-3175
12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-2560
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.84
- Improvement activities
- 40
- Cost
- 70.51
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00009911 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
13555 SE 36th St
Ste 100
Bellevue, WA 98006
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
Organizations & group practices 5
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physical Therapist
- Bellevue, WA
- NPI 1346808052
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1255360905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16030 BOTHELL EVERETT HWY STE 200",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121273",
"telephone_number": "425-745-4910",
"fax_number": "425-338-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16030 BOTHELL EVERETT HWY STE 200",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121273",
"telephone_number": "425-745-4910",
"fax_number": "425-338-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUMPER",
"first_name": "BREEANNA",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Creek, WA
- Proliance Surgeons, Inc., P.S.
- Providence Health & Services- Washington
- Kayla Pruitt, D.C.
- Ann Marie Pryich, M.S.W.
- Puget Sound Gastroenterology, PLLC
- Purity Integrative Health & Wellness Center, PLLC
- Purity Integrative Health & Wellness Center, PLLC
- Purity Integrative Health & Wellness Center, PLLC
- Aisha Khan Qadri, MSW
- Aliya Qadri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.