Provider Demographics
NPI:1720473630
Name:BIASI, ADRIA DAWN (PT, DPT, OCS)
Entity type:Individual
Prefix:
First Name:ADRIA
Middle Name:DAWN
Last Name:BIASI
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 SE 163RD PL STE 102
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-4468
Mailing Address - Country:US
Mailing Address - Phone:360-768-4340
Mailing Address - Fax:360-768-4322
Practice Address - Street 1:1125 SE 163RD PL STE 102
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-4468
Practice Address - Country:US
Practice Address - Phone:360-768-4340
Practice Address - Fax:360-768-4322
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60615343225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB231840Medicare PIN
CACA148915Medicare PIN
CACA148914Medicare PIN