MEDICARE: ERICA BEA BROOK PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 38622	CA
2	225100000X	Physical Therapist	PT60592722	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT60592722	OTHER	WA	PHYSICAL THERAPIST
2	PT38622	OTHER	CA	PHYSICAL THERAPIST

General Provider Information

NPI Number	:	1245501220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA BEA BROOK PT

Provider Business Mailing Address
First Line	:	10715 NE 37TH CT APT 129
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98033-1703
Country	:	US
Telephone Number	:	559-392-8595
Fax Number	:

Provider Business Practice Location Address
First Line	:	10715 NE 37TH CT APT 129
Second Line	:
City	:	KIRKLAND
State	:	WA
Zip	:	98033-1703
Country	:	US
Telephone Number	:	559-392-8595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2012
Last Update Date	:	07/19/2022

Similar Medicare Providers

1619826575 — ANGELIQUE GUINA COUNSELING PLLC
Practice Location Address:

10715 NE 37TH CT APT 147
KIRKLAND, WA
98033-1703

Practice Phone: 360-632-5568
Practice Fax:

1972381747 — ANGELIQUE GUINA
Practice Location Address:

10715 NE 37TH CT APT 147
KIRKLAND, WA
98033-1703

Practice Phone: 360-632-5568
Practice Fax:

1760117246 — EMBODY PHYSIO LLC
Practice Location Address:

10715 NE 37TH CT APT 129
KIRKLAND, WA
98033-1703

Practice Phone: 559-392-8595
Practice Fax:

1053184861 — PREMISE HEALTH OF WASHINGTON MEDICAL, PC
Practice Location Address:

747 6TH ST S
KIRKLAND, WA
98033-6715

Practice Phone: 425-400-3245
Practice Fax: 425-952-1801

1558211607 — ARTEM KHODZHIEV
Practice Location Address:

1003 7TH AVE STE A
KIRKLAND, WA
98033-5779

Practice Phone: 425-658-3016
Practice Fax:

1740139922 — JOALYCE HARRIS
Practice Location Address:

CBPI, LLC 1003 7TH AVE STE A
KIRKLAND, WA
98033

Practice Phone: 425-658-3016
Practice Fax:

Directions to “ ERICA BEA BROOK PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.