Individual provider Active NPI

Brian Mejia

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1780401968
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61591512 Issued in WA
Practice address
1407 E 7ND St A100
Tacoma, WA 98404
Phone
(253) 319-0609
NPI assigned
Sep 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 61591512 WA Primary

Addresses

Primary practice location

1407 E 7ND St A100
Tacoma, WA 98404

Mailing address

2922 S 5TH St.
Tacoma, WA 98409

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241002003103 WA Practitioner - Physical Therapist in Private Practice 9335670223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians
Ross M. Anderson, Anchor Physical TherapyGroup PAC ID 2062588924, 7 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

1407 E 72ND St
Suite A100
Tacoma, WA 98404-5906
Phone (253) 474-7474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61591512WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Current Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Jun 24, 2025 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 24, 2025 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Ross M. Anderson, Anchor Physical Therapy Physical Therapist CurrentSince Sep 10, 2024 Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

5815 Lakewood Towne Center Blvd SW
Ste G1
Lakewood, WA 98499
Phone (253) 235-3971

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

1407 E 72nd St
Ste A100
Tacoma, WA 98404
Phone (253) 474-7474

Organizations & group practices 5

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": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1780401968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 S 5TH ST.",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 E 7ND ST A100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98404",
            "telephone_number": "253-319-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61591512",
            "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 Sep 20, 2024; 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.