Individual provider Active NPI

Gabrielle Alexandra Buch, DPT

  • Physical Therapist
  • Lakewood, WA
National Provider Identifier
1942633953
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60397526 Issued in WA
Practice address
5605 100TH St SW
Ste B
Lakewood, WA 98499-2710
Phone
(253) 284-9800
Fax
(360) 704-7676
NPI assigned
Aug 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 PT60397526 WA Primary

Addresses

Primary practice location

5605 100TH St SW
Ste B
Lakewood, WA 98499-2710

Mailing address

2726 W Apperson Dr
Coeur D Alene, ID 83815-9340
Phone (208) 762-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, WY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131003000162 WA Practitioner - Physical Therapist in Private Practice 7113151226 Reassigns benefits to 1 organization
I20200901001448 ID Practitioner - Physical Therapist in Private Practice 7113151226 Reassigns benefits to 1 organization
I20230807001838 WY Practitioner - Physical Therapist in Private Practice 7113151226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake City Physical Therapy P aGroup PAC ID 3678465234, 13 clinicians

Practice addresses (Care Compare)

2065 W Riverstone Dr
Suite 101
Coeur D Alene, ID 83814-5699
Phone (208) 667-1988

609 N Calgary CT
Suite 2
Post Falls, ID 83854-4906
Phone (208) 457-3435

6600 W Commercial Park Ave
Suite D
Rathdrum, ID 83858-6427
Phone (208) 712-3634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60397526WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Four Pines Physical Therapy PC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Four Pines Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Aug 24, 2020 Accepting new patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Aug 24, 2020 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Sep 16, 2024 Accepting new patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Physical Therapist PastSince Jan 12, 2016 Accepting new patients

Locations

2065 W Riverstone Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-1988

2170 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 667-1988

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

22620 SE 4th St
Ste 240
Sammamish, WA 98074
Phone (425) 200-0054

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

Organizations & group practices 7

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1942633953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 W APPERSON DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159340",
            "telephone_number": "208-762-2100",
            "fax_number": "208-762-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 100TH ST SW",
            "address_2": "STE B",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992710",
            "telephone_number": "253-284-9800",
            "fax_number": "360-704-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCH",
        "first_name": "GABRIELLE",
        "middle_name": "ALEXANDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60397526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.