BRIAN A THACKER DPT, OCS, SCS, COMT
NPI 1376536243
Physical Therapist in Puyallup, WA
About Brian A Thacker Dpt, Ocs, Scs, Comt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN A THACKER DPT, OCS, SCS, COMT (NPI 1376536243) is an individual physical therapist in Puyallup, Washington, licensed in Washington (PT00007968) and active in the NPI registry since August 2005.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- 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.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brian A Thacker Dpt, Ocs, Scs, Comt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brian Thacker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Puyallup, WA 98371
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PUYALLUP, WA 98375
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brian Thacker's NPI number?
The NPI number for Brian Thacker is 1376536243. It was assigned to this individual provider in the NPPES registry on August 25, 2005.
Where is Brian Thacker located?
Brian Thacker practices at 17520 Meridian E Ste F, Puyallup, WA 98375. The listed phone number is (253) 864-7595.
What is Brian Thacker's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Brian Thacker enrolled in Medicare?
Yes. Brian Thacker is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brian Thacker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Thacker reassigns Medicare benefits to Multicare Health System (Puyallup, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Thacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brian Thacker accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Brian Thacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brian Thacker was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.