Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian A Thacker, DPT, OCS, SCS, COMT

Individual provider Physical Therapist · NPI 1376536243

Brian A Thacker, DPT, OCS, SCS, COMT is a Physical Therapist in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2005.

Licensed in
WA
In the registry since
2005
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

17520 Meridian E Ste F
Puyallup, WA 98375-6265
Phone: (253) 864-7595
Fax: (253) 864-0457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT00007968 (WA)

Record details

NPI number1376536243
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS , SCS , COMT
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESMay 21, 2013
Mailing addressPo Box 24283, Seattle, WA 98124-0283

Other providers in Puyallup