Active NPI
Brianna Deshai Lakes, PT, DPT
- Physical Therapist
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 11620 97TH LN NE
Kirkland, WA 98034-4269 - Phone
- (425) 455-2630
- Fax
- (425) 451-4390
- NPI assigned
- Jun 8, 2021
- Last updated
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015286 | GA | |
| Physical Therapist | 225100000X | WA | Primary |
Addresses
Primary practice location
11620 97TH LN NE
Kirkland, WA 98034-4269
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
540 W Crossville Rd Ste 203
Roswell, GA 30075-7524
Phone (678) 585-0175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, WA, NM, OR, AZ, AK
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Duluth, GA 30097
Phone (877) 407-3422
260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.36 of 100
- Quality
- 88.33
- Improvement activities
- 40
- Cost
- 75.93
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.09 of 100
- Quality
- 89.13
- Improvement activities
- 40
- Cost
- 73.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 85.59
- Improvement activities
- 40
- Cost
- 69.27
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015286 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Ga, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Adient Alaska, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy at Dawn, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Prehab Lab LLC | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Past | Accepting new patients | |
| Ideal Rehabilitation LLC | Past | Accepting new patients |
Locations
1919 Lathrop St
Ste 123
Fairbanks, AK 99701
Phone (907) 290-3075
3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
540 W Crossville Rd
Ste 203
Roswell, GA 30075
Phone (678) 585-0175
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
3611 NM 528 NW
Ste 101
Albuquerque, NM 87114
Phone (505) 217-2826
6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
11977 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 486-6944
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
11620 97th Ln NE
Kirkland, WA 98034
Phone (425) 820-0869
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
Organizations & group practices 13
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.
-
- Physical Therapist
- Atlanta, GA
- NPI 1023544624
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
-
dba ATI Physical Therapy
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
dba ATI Physical Therapy
- Physical Therapist
- Albuquerque, NM
- NPI 1780695551
-
- Physical Therapist
- Acworth, GA
- NPI 1952045734
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1891362802",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11620 97TH LN NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980344269",
"telephone_number": "425-455-2630",
"fax_number": "425-451-4390"
}
],
"practiceLocations": [
{
"address_1": "540 W Crossville Rd Ste 203",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300757524",
"country_code": "US",
"telephone_number": "678-585-0175",
"fax_number": "678-585-7483",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAKES",
"first_name": "BRIANNA",
"middle_name": "DESHAI",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015286",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
- Lake Washington Midwives
- Lake Washington Physical Therapy LLC
- Lake Washington Private Medicine Inc (Lake Washington Pain Management)
- Lake Washington Technical College Dental Clinic
- Jennifer Lake
- Lakeshore Clinic PLLC
- Lakeside Recovery Centers Inc (Lakeside Milam Recovery Centers)
- Lakeside Recovery Centers Inc (Lakeside Milam Recovery Centers)
- Lakeview of Kirkland
- Margarita Lalayan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.