Individual provider Active NPI

Bradley Ross Harvie, MSPT

  • Physical Therapist
  • Orting, WA
National Provider Identifier
1710937784
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010070 Issued in WA
Practice address
208 Corrin Avenue Southwest
Orting, WA 98390
Phone
(360) 872-0401
Fax
(360) 872-0438
NPI assigned
May 11, 2006
Last updated
Oct 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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 PT00010070 WA Primary

Addresses

Primary practice location

208 Corrin Avenue Southwest
Orting, WA 98390

Mailing address

PO Box 1137
Orting, WA 98360-1137
Phone (360) 872-0315

Other identifiers 1

IdentifierTypeStateIssuer
8451767MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060525000020 WA Practitioner - Physical Therapist in Private Practice 3072524396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Physical Therapy of Orting, Inc.Group PAC ID 4789743584, 3 clinicians

Practice addresses (Care Compare)

211 Van Scoyoc Ave SW
Orting, WA 98364
Phone (360) 872-0315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy of Orting, Inc. CurrentSince Oct 9, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1710937784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1137",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "983601137",
            "telephone_number": "360-872-0315",
            "fax_number": "360-872-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CORRIN AVENUE SOUTHWEST",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "98390",
            "telephone_number": "360-872-0401",
            "fax_number": "360-872-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVIE",
        "first_name": "BRADLEY",
        "middle_name": "ROSS",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8451767",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orting, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.