BRIAN CRECELIUS (DPT) – Physical Therapist, NPI 1104424837

BRIAN CRECELIUS (DPT) is a healthcare provider. based in Tukwila, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT61037673 (WA). The NPI Number for BRIAN CRECELIUS (DPT) is 1104424837

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN CRECELIUS (DPT)
NPI
1104424837
Phone
(208) 369-3524
Address
15428 39TH LN S APT B104
Enumeration Date
14 October 2020
Last Update Date
14 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253373166
Graduation Year
2020 (6 years ago)
PAC ID
0648681247
Group Practice PAC ID
0042111718
Professional Enrollment ID
I20201203002196
Address ID
WA982084257EV10207SEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for BRIAN CRECELIUS (DPT)

  • 15428 39TH LN S APT B104

    TUKWILA, WA 981888039

    Phone: (208) 369-3524

    Type: Mailing

  • 7728 204TH ST NE UNIT A

    ARLINGTON, WA 982232500

    Phone: (360) 403-8250

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201203002196IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities58050$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes21039$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20237$0
97140Therapy procedure using manual technique, each 15 minutes12728$0
97162Evaluation for physical therapy, typically 30 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 98188)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042111718View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeGA
-CT
-WA
Physical Therapist In Private PracticeMI
-WA
-WA

Reviews

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Frequently asked questions

How do I look up BRIAN CRECELIUS (DPT) by NPI?
Use NPI 1104424837 when you need to reference BRIAN CRECELIUS (DPT) in forms, claims, or directories.
Is BRIAN CRECELIUS (DPT) currently active in the NPI registry?
CMS-published data lists BRIAN CRECELIUS (DPT) as an active registrant.
What field does BRIAN CRECELIUS (DPT) work in?
You can think of BRIAN CRECELIUS (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for BRIAN CRECELIUS (DPT)?
The page summarizes Tukwila, Washington for BRIAN CRECELIUS (DPT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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