Brock Daniel Athey, in Puyallup, WA - Medicare Physical Therapist Provider

Brock Daniel Athey, is a medicare enrolled "Physical Therapist" provider in Puyallup, Washington. His current practice location is 3912 10th St Se Ste 101, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 848-4700.

Brock Daniel Athey is licensed to practice in Pennsylvania (license number 030519) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679128169.

Contact Information

	Brock Daniel Athey,
	3912 10th St Se Ste 101, Puyallup, WA 98374-2188
	(253) 848-4700
	(253) 848-2284

Map and Direction

Healthcare Provider's Profile

Full Name	Brock Daniel Athey
Gender	Male
Speciality	Physical Therapist
Location	3912 10th St Se Ste 101, Puyallup, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679128169
Provider Enumeration Date: 08/02/2019
Last Update Date: 07/22/2024

Medicare PECOS Information:

PECOS PAC ID: 1951756287
Enrollment ID: I20231006000853

Medical Identifiers

Medical identifiers for Brock Daniel Athey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679128169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(West Virginia)	Secondary
225100000X	Physical Therapist	(Washington)	Secondary
225100000X	Physical Therapist	030519 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brock Daniel Athey allows following entities to bill medicare on his behalf.

Provider Name	Barren Ridge Physical Therapy Limited Partnership
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093952905 PECOS PAC ID: 3173670544 Enrollment ID: O20090422000394

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brock Daniel Athey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brock Daniel Athey, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Brock Daniel Athey, 3912 10th St Se Ste 101, Puyallup, WA 98374-2188 Ph: (253) 848-4700

Reviews and Comments

Physical Therapist in Puyallup, WA

Peter Kelley Janicki, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3912 10th St Se, Suite 101, Puyallup, WA 98374 Phone: 253-848-4700 Fax: 253-848-2284
Mr. Jonas Cline, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 29th St Ne, Puyallup, WA 98372 Phone: 253-840-4400
Justin Higa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 5th St Se Ste 4400, Puyallup, WA 98372 Phone: 253-881-1362 Fax: 253-881-1368
Sara Kerrick, M.S., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 402 15th Ave Se, #100, Puyallup, WA 98372 Phone: 253-607-5200 Fax: 253-697-5145
Marilee J Fijalka-carr, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 15th Ave Se, #100, Puyallup, WA 98372 Phone: 253-697-5200 Fax: 253-697-5145
Dr. Tyler Trudeau, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1420 3rd St Se, Ste. 102, Puyallup, WA 98372 Phone: 253-770-1807 Fax: 253-770-1985
Brooke Ferraro, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1707 3rd St Se, Puyallup, WA 98372 Phone: 253-841-3041

Brock Daniel Athey, - Medicare Physical Therapist in Puyallup, WA