Adam Steven Brown, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · Liberty Lake, WA
NPI 1992755417 · NPPES record last updated Dec 12, 2011
Key facts
- NPI
- 1992755417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT00009116 (WA)
- Practice address
- 1326 N Stanford LN
Liberty Lake, WA 99019-5034 - Phone
- (509) 838-2531
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Washington School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060516000007 | WA | Practitioner - Physical Therapist in Private Practice | 5092777458 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL8371 | CO | MD | Physical Therapist |
| PT00009116 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Physical Therapist | Past | Accepting new patients |
| Rockwood Clinic | Physical Therapist | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
1326 N Stanford Ln
Liberty Lake, WA 99019
Phone (509) 342-3990
1414 N Houk Rd
Ste 101
Spokane Valley, WA 99216
Phone (509) 473-5494
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL8371 | CO | |
| Physical Therapist | 225100000X | PT00009116 | WA | Yes |
Addresses
Primary practice location
1326 N Stanford LN
Liberty Lake, WA 99019-5034
Mailing address
PO Box 3649
Spokane, WA 99220-3649
Phone (509) 838-2531
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206627 | Other | WA | L&I PROVIDER NUMBER |
| 8458713 | Medicaid | WA |
Other providers in Liberty Lake, WA
- Anna Bollinger
- Rachelle Marie Boone
- Mark William Bottorff
- Brady Heaps Chiropractic
- Craig Broom
- Catherine Louise Kuhn Brown
- Rachel Rebecca Burgess
- Brock Anthony Butler
- C Ross Simonds DDS PS
- Lawrence Richard Callaway
All providers in Liberty Lake, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.