Individual provider Active NPI

Brielle Elizabeth Kadrmas, DPT

  • Physical Therapist
  • Mount Vernon, WA
National Provider Identifier
1790207884
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60740907 Issued in WA
Practice address
110 N Laventure Rd Ste a
Mount Vernon, WA 98273-3901
Phone
(360) 428-2700
Fax
(360) 428-2701
NPI assigned
Jul 11, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PT60740907 WA Primary

Addresses

Primary practice location

110 N Laventure Rd Ste a
Mount Vernon, WA 98273-3901

Mailing address

11711 NE 12TH St
Ste 3a
Bellevue, WA 98005-2461
Phone (425) 450-9474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822003569 WA Practitioner - Physical Therapist in Private Practice 2264704402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Core Performance LLCGroup PAC ID 3577532290, 13 clinicians

Practice addresses (Care Compare)

1514 12TH St
Suite 103
Bellingham, WA 98225-7448
Phone (360) 752-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60740907WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Performance LLC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jul 30, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jul 30, 2021 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist PastSince Jul 17, 2017 Accepting new patients

Locations

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

1514 12th St
Ste 103
Bellingham, WA 98225
Phone (360) 752-2673

1825 Grant St
Bellingham, WA 98225
Phone 3607520271203

1825 Grant St
Ste 100
Bellingham, WA 98225
Phone (360) 752-2673

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

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

135 W Fairhaven Ave
Ste 101
Burlington, WA 98233
Phone (360) 671-2900

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

110 N Laventure Rd
Ste A
Mount Vernon, WA 98273
Phone (360) 428-2700

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

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, 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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790207884",
    "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": "425-450-9474",
            "fax_number": "425-452-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N LAVENTURE RD STE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733901",
            "telephone_number": "360-428-2700",
            "fax_number": "360-428-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADRMAS",
        "first_name": "BRIELLE",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60740907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.