Breland Health & Rehab Group Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

640900000 Issued in TX

Legal business name

BRELAND HEALTH & REHAB GROUP INC.

Practice address

1320 NW Homestead Dr
Ste E
Lawton, OK 73505-5243

Phone

(580) 353-6300

Fax

(580) 353-6319

NPI assigned

Mar 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Brenda Sue Breland

Title

Manager

Phone

(940) 569-3630

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Marie Terrell, PT

  • Physical Therapist
  • Wichita Falls, TX
  • NPI 1205868643
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1013036508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 S RED RIVER EXPY",
            "address_2": "STE E",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763543752",
            "telephone_number": "940-569-3630",
            "fax_number": "940-569-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 NW HOMESTEAD DR",
            "address_2": "STE E",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735055243",
            "telephone_number": "580-353-6300",
            "fax_number": "580-353-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRELAND HEALTH & REHAB GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "BRELAND",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "940-569-3630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "640900000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "OK2429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRAIG MCBRIDE",
            "identifier": "1008356996A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA MEDICARE",
            "identifier": "376591",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100835690A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167449101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Breaux, CRNA
• Kimmy Renea Breckenridge, LPN
• Ashley Nicole Bredy, DC
• Jodi Breeden
• Brooke A Brehm, RBT
• Joseph Brent Brennan, PHARM.D.
• Kelly J Brennanwhite
• Brett R. Warn, D.D.S., Inc.
• Amanda Natasha Brewer
• Dewel Lerone Brewer

• All providers in Lawton, OK
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.