Brad Callan, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008322 Issued in WA

Practice address

405 NW Gilman Blvd
Suite 200
Issaquah, WA 98027-2470

Phone

(425) 392-6804

Fax

(425) 392-6805

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canyon View Physical TherapyGroup PAC ID 3577786730, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Canyon View Physical Therapy

  • Physical Therapist
  • Ellensburg, WA
  • NPI 1124457387
  Medicare reassignment Care Compare group NPD
• Peaks Sports & Spine Physical Therapy

  • Physical Therapist
  • Cle Elum, WA
  • NPI 1346285947
  NPD (past) Authorized official
• Bellevue Sports & Spine Physical Therapy PS

  dba Peak Sports & Spine Physical Therapy

  • Physical Therapist
  • Bellevue, WA
  • NPI 1285718015
  NPD (past)
• Olympic Physical Therapy, Inc

  • Physical Therapist
  • Bellevue, WA
  • NPI 1003875550
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1295772671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 106TH AVE NE",
            "address_2": "SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980048614",
            "telephone_number": "425-454-4864",
            "fax_number": "425-646-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NW GILMAN BLVD",
            "address_2": "SUITE 200",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272470",
            "telephone_number": "425-392-6804",
            "fax_number": "425-392-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAN",
        "first_name": "BRAD",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7131931",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Butler
• Meagan A Butler, LMHCA
• Robert W Byron, DPT
• Megan Cabrales, PT, DPT
• Cassandra Callaghan, MA, CCC-SLP
• Kaitlyn Camp
• Robert A. Campbell, PSY.D.
• Sarah G Campbell, MA, LMHC
• Kristine Candoo, LMHC
• Miranda Claire Canfield, RD

• Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.