NPIMap

Organization Active NPI

Premier Therapy Associates, LLC

  • Orthopedic Physical Therapist
  • Edmonds, WA
National Provider Identifier
1255790374
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT00006784 Issued in WA
Legal business name
PREMIER THERAPY ASSOCIATES, LLC
Practice address
21827 76TH Ave W
Suite 101
Edmonds, WA 98026-7981
Phone
(206) 554-1216
NPI assigned
Feb 17, 2016
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Elise J Bradley, OTR/LNPI 1538443361
Title
Co-Owner
Phone
(812) 431-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT00006784 WA Primary
Hand Occupational Therapist 225XH1200X OT60242053 WA

Addresses

Primary practice location

21827 76TH Ave W
Suite 101
Edmonds, WA 98026-7981

Mailing address

21827 76TH Ave W Ste 101
Edmonds, WA 98026-5141
Phone (812) 431-1149

Other practice location 1

1519 132nd St SE Ste A&b
Everett, WA 98208-7203
Phone (425) 582-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160712000098 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1850683988 Receives reassigned benefits from 7 practitioners
Practice locations: Edmonds, WA

National Provider Directory

National Provider Directory

Locations

21827 76th Ave W
Ste 101
Edmonds, WA 98026
Phone (425) 582-0930

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1255790374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21827 76TH AVE W STE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980265141",
            "telephone_number": "812-431-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21827 76TH AVE W",
            "address_2": "SUITE 101",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267981",
            "telephone_number": "206-554-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1519 132nd St SE Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982087203",
            "country_code": "US",
            "telephone_number": "425-582-0930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "812-431-1149",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00006784",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT60242053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.