BRADY TSUKAMAKI (DPT) – Physical Therapist, NPI 1164288650

BRADY TSUKAMAKI (DPT) is a healthcare provider. based in Lynnwood, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT60473487 (WA). The NPI Number for BRADY TSUKAMAKI (DPT) is 1164288650

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
BRADY TSUKAMAKI (DPT)
NPI
1164288650
Phone
(303) 725-9522
Address
1717 157TH ST SW UNIT B
Enumeration Date
22 February 2024
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4253321030
Graduation Year
2014 (12 years ago)
PAC ID
7810335668
Group Practice PAC ID
9133012362
Professional Enrollment ID
I20240329001695
Address ID
WA980121797MI15906BLVD403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for BRADY TSUKAMAKI (DPT)

  • 1717 157TH ST SW UNIT B

    LYNNWOOD, WA 980872514

    Phone: (303) 725-9522

    Type: Mailing

  • 15906 MILL CREEK BLVD STE 106

    MILL CREEK, WA 980121797

    Phone: (425) 332-1030

    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: 2024-03-29

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
I20240329001695IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98087)

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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: 9133012362View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
-CA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeKY
-WA
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

Is there an official ID for BRADY TSUKAMAKI (DPT) in U.S. healthcare records?
The official identifier for BRADY TSUKAMAKI (DPT) is NPI 1164288650.
Is BRADY TSUKAMAKI (DPT) shown as active in public data?
Registry records indicate BRADY TSUKAMAKI (DPT) maintains an active NPI.
What clinical focus is listed for BRADY TSUKAMAKI (DPT)?
At a glance, BRADY TSUKAMAKI (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRADY TSUKAMAKI (DPT)?
Travel planning: use Lynnwood, Washington as the reference point for BRADY TSUKAMAKI (DPT), then confirm.
When was this NPI issued?
Enumeration for BRADY TSUKAMAKI (DPT) is noted as February 22, 2024 where the registry provides it.

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