Individual provider Active NPI

Brian J Feng, DPT

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1699267740
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60828457 Issued in WA
Practice address
15703 Pacific Ave S Ste B
Tacoma, WA 98444
Phone
(253) 531-4100
Fax
(253) 531-3795
NPI assigned
Jun 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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 60828457 WA Primary

Addresses

Primary practice location

15703 Pacific Ave S Ste B
Tacoma, WA 98444

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710001009 WA Practitioner - Physical Therapist in Private Practice 8820344625 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians

Practice addresses (Care Compare)

3719 88TH St NE
Suite a
Marysville, WA 98270-7228
Phone (360) 659-9621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60828457WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jun 4, 2018 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jun 4, 2018 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Apr 19, 2021 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

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

1010 S 336th St
Ste 112
Federal Way, WA 98003
Phone (253) 661-0041

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

3719 88th St NE
Ste A
Marysville, WA 98270
Phone (360) 659-9621

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

17223 Avondale Way NE
Redmond, WA 98052
Phone (425) 403-0232

15703 Pacific Ave S
#B
Tacoma, WA 98444
Phone (253) 531-4100

13050 Military Rd S
Tukwila, WA 98168
Phone (206) 248-3080

Organizations & group practices 8

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1699267740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15703 PACIFIC AVE S STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98444",
            "telephone_number": "253-531-4100",
            "fax_number": "253-531-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENG",
        "first_name": "BRIAN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60828457",
            "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 10, 2018; 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.