Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376536243 Individual Practitioner Male Practitioner

Dr. Brian A Thacker , DPT, OCS, SCS, COMT

Physical Therapist • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Brian Thacker, DPT, OCS, SCS, COMT is a registered healthcare professional specializing in Physical Therapist in Puyallup, WA. Practice services are available at 17520 MERIDIAN E under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17520 Meridian E
Ste F

Puyallup, WA 983756265

Telephone 2538647595
Fax 2538640457
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.2 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
216 Specialists

Practicing in Puyallup, WA (7580 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
24 11 $79.00 $20.34
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
21 11 $89.00 $21.41

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License WA PT00007968

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7092208 (WA)
Commercial Insurance / Payer ID L&i Provider Id
306726 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Ashely Dawster , LMP

Massage Therapist

NPI 1023542032

Licensed Massage Practitioner

NPI 1144885294

Doctor of Physical Therapy

Jordan Brock , PT

Physical Therapist

NPI 1316833726

Physical Therapist

Dr. Jake Look , DPT

Physical Therapist

NPI 1326564378

Doctor of Physical Therapy

Dr. Caitlan Whitley , DPT

Physical Therapist

NPI 1386300671

Doctor of Physical Therapy

Dr. Ryan Nicely , DPT

Physical Therapist

NPI 1508722398

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 21, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 21, 2013

Registered at 17520 MERIDIAN E, STE F, PUYALLUP, WA 983756265 (Tel: 2538647595)

📍
Updated Business Mailing Address May 21, 2013

Registered at PO BOX 24283, SEATTLE, WA 981240283 (Tel: 2535815200)

👤
Provider Name / Credentials Updated May 21, 2013

Recorded as BRIAN THACKER, DPT, OCS, SCS, COMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2013

Physical Therapist (License #PT00007968 in WA)

🟢
Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376536243
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: May 21, 2013
Sole Proprietor: No

Mailing Address

Po Box 24283

Seattle, WA 981240283

Phone: 2535815200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.