| Briana F Gough, DPT | |
|
6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043-2166 | |
| (425) 775-7274 | |
| Not Available |
| Full Name | Briana F Gough |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 6601 220th St Sw Ste 1, Mountlake Terrace, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386428332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT03713 (Rhode Island) | Secondary |
| 225100000X | Physical Therapist | 0020259 (Colorado) | Primary |
| Provider Name | Elite Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1225123565 PECOS PAC ID: 1951295187 Enrollment ID: O20040210000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Briana F Gough, DPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () - | Briana F Gough, DPT 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043-2166 Ph: (425) 775-7274 |
Rayson Takeshi Sorayama, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 24000 Van Ry Blvd Apt 209, Mountlake Terrace, WA 98043 Phone: 866-370-8206 | |
Emily Simmonds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 | |
Mr. Douglas T Uyeda, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 | |
Christina Natale, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6912 220th St Sw, Mountlake Terrace, WA 98043 Phone: 425-672-2716 | |
Cole Brown, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 Fax: 425-775-0963 | |
Devin Porter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6601 220th St Sw Ste 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 | |
Dr. Kristina Marie Malijan Quick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6601 220th St Sw, Suite 1, Mountlake Terrace, WA 98043 Phone: 425-775-7274 Fax: 425-775-0963 |