CMS-1500 Box 24J / 33a • NPI
1205112281
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208600000X (CMS 02)
Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)
Box 32 Service Location & ZIP+4
10317 122ND ST E, SUITE A, PUYALLUP, WA, 98374-2632
✓ 9-Digit EDI 837 ZIP+4 (98374-2632)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1205112281 (ABRIA BREAST CENTER PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1205112281 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ABRIA BREAST CENTER PLLC |
| Plain-English Specialty | Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: 208600000X (Surgery) |
| Certifying / Licensing Body | American Board of Orthopaedic Surgery (ABOS) |
| Practice Location Address | 10317 122ND ST E, SUITE A, PUYALLUP, WA, 98374-2632 |
| Practice Telephone / Fax | Tel: (253) 426-3107 | Fax: (253) 840-6810 |
| Administrative Mailing Address | 1625 E 72ND ST, TACOMA, WA, 98404-5455 |
| Enumeration & Last Sync | Enumerated: 2011-10-23 | CMS Record Updated: 2011-10-23 |
| Authorized Official | ERICA SCOTT (Owner) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (208600000X)
What Does Taxonomy Code 208600000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208600000X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ABRIA BREAST CENTER PLLC)
Typical CPT / Diagnostic Procedures:- Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
- Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
- Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
- Fracture Reduction, Internal Fixation & Carpal Tunnel Release
- NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
- Intra-Articular Triamcinolone Acetonide & Methylprednisolone
- Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
208100000X — Physical Medicine & RehabilitationPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation | State: WA | License: 603023906 | Primary: Secondary |
2081P2900X — Physical Medicine & Rehabilitation, Pain MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Physical Medicine & Rehabilitation, Pain Medicine | State: WA | License: 603023906 | Primary: Secondary |
208600000X — SurgeryPlain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) | State: WA | License: 603023906 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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