NPIMap

Brianna Deshai Lakes, PT, DPT

Individual provider Active NPI Physical Therapist · Kirkland, WA

NPI 1891362802 · NPPES record last updated Apr 10, 2024

Key facts

NPI
1891362802
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
11620 97TH LN NE
Kirkland, WA 98034-4269
Phone
(425) 455-2630
Fax
(425) 451-4390
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Fox Rehabilitation Ga, LLC (109 clinicians)
Georgia Luna Care Physical Therapy LLC (167 clinicians)

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 (group)
Quality
88.33
Improvement activities
40
Cost
75.93

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100 (group)
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100 (group)
Quality
85.59
Improvement activities
40
Cost
69.27

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100 (group)
Quality
88.06
Improvement activities
40
Cost
76.31

Medicare participation

Medicare fee-for-service enrollment
Enrolled (6 enrollments) in GA, WA, NM, OR, AZ, AK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210615000314 GA Practitioner - Physical Therapist in Private Practice 5698175560 Reassigns benefits to 3 organizations
I20240425002192 WA Practitioner - Physical Therapist in Private Practice 5698175560 Reassigns benefits to 1 organization
I20240522002657 NM Practitioner - Physical Therapist in Private Practice 5698175560 Reassigns benefits to 1 organization
I20240603001835 OR Practitioner - Physical Therapist in Private Practice 5698175560 Reassigns benefits to 1 organization
I20240605003566 AZ Practitioner - Physical Therapist in Private Practice 5698175560 Reassigns benefits to 1 organization
I20240606004285 AK Practitioner - Physical Therapist in Private Practice 5698175560 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist Current
since Apr 28, 2024		 Accepting new patients
Fox Rehabilitation Ga, LLC Physical Therapist Current
since Jun 1, 2023		 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current
since Jun 2, 2021		 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current
since May 6, 2024		 Accepting new patients
Prehab Lab LLC Physical Therapist Current Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current
since Jun 2, 2021		 Accepting new patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist Current
since Apr 30, 2024		 Accepting new patients
Adient Alaska, LLC Physical Therapist Current
since May 6, 2024		 Accepting new patients
Physical Therapy at Dawn, LLC Physical Therapist Current
since May 8, 2024		 Accepting new patients
Apple Physical Therapy LLC Physical Therapist Current
since May 6, 2024		 Accepting new patients
Emory Physical Therapy, LLC Past Accepting new patients
Ideal Rehabilitation LLC Past
since Apr 28, 2024		 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

6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930

3611 NM 528 NW
Ste 101
Albuquerque, NM 87114
Phone (505) 217-2826

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015286 GA
Physical Therapist 225100000X WA Yes

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

Other providers in Kirkland, WA

All providers in Kirkland, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.