Healthcare Provider Details

I. General information

NPI: 1356718969
Provider Name (Legal Business Name): BRIANA L ESCALANTE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANA ROGERS PT

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11821 NE 128TH ST STE C
KIRKLAND WA
98034-7210
US

IV. Provider business mailing address

790 REMINGTON BLVD
BOLINGBROOK IL
60440-4909
US

V. Phone/Fax

Practice location:
  • Phone: 425-285-1250
  • Fax: 425-285-1255
Mailing address:
  • Phone: 630-296-2223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 60545424
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: