Individual provider Active NPI

Brandi Eloff, PT, DPT

  • Physical Therapist
  • Auburn, WA
National Provider Identifier
1508242801
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 60538193 Issued in WA
Practice address
1408 Lake Tapps Pkwy SE
Suite E 105
Auburn, WA 98092-8158
Phone
(253) 939-7179
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 60538193 WA Primary

Addresses

Primary practice location

1408 Lake Tapps Pkwy SE
Suite E 105
Auburn, WA 98092-8158

Mailing address

11711 NE 12TH St
Ste 3a
Bellevue, WA 98005-2461
Phone (253) 939-7179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914001111 WA Practitioner - Physical Therapist in Private Practice 3779890405 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

1620 Lake Tapps Pkwy SE
Suite 110
Auburn, WA 98092-8376
Phone (253) 939-7181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 60538193WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 30, 2015 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jul 30, 2015 Accepting new patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Physical Therapist PastSince Jun 13, 2016 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Past Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1620 Lake Tapps Pkwy SE
Ste 110
Auburn, WA 98092
Phone (253) 939-7181

915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

12910 Totem Lake Blvd NE
Ste 105
Kirkland, WA 98034
Phone (425) 823-8631

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

11019 Canyon Rd E
Ste C
Puyallup, WA 98373
Phone (253) 286-3600

1707 3rd St SE
Puyallup, WA 98372
Phone (253) 200-2355

17528 Meridian E
Ste 205
Puyallup, WA 98375
Phone (253) 256-4807

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1508242801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST",
            "address_2": "STE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461",
            "telephone_number": "253-939-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 LAKE TAPPS PKWY SE",
            "address_2": "SUITE E 105",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980928158",
            "telephone_number": "253-939-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELOFF",
        "first_name": "BRANDI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60538193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.