Individual provider Active NPI

Bryse A Paffile, DPT

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1396238317
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60865283 Issued in WA
Practice address
1407 E 72ND St Ste A100
Tacoma, WA 98404-5906
Phone
(253) 474-7474
NPI assigned
Jun 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15655 CO
Physical Therapist 225100000X 60865283 WA Primary

Addresses

Primary practice location

1407 E 72ND St Ste A100
Tacoma, WA 98404-5906

Mailing address

1407 E 72ND St
Ste A100
Tacoma, WA 98404-5906
Phone (253) 432-9601

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

LicenseStateTypeSpecialty
15655COMDPhysical Therapist
60865283WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1396238317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 E 72ND ST",
            "address_2": "STE A100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045906",
            "telephone_number": "253-432-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 E 72ND ST STE A100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984045906",
            "telephone_number": "253-474-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAFFILE",
        "first_name": "BRYSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "15655",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60865283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.