Active NPI
Daniel Breeling
- Physical Therapist
- Dedham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25147
- Practice address
- 606 Providence Hwy
Dedham, MA 02026-6804 - Phone
- (857) 444-1010
- NPI assigned
- Nov 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25147 | MA | Primary |
Addresses
Primary practice location
606 Providence Hwy
Dedham, MA 02026-6804
Mailing address
250 E Main St
Norton, MA 02766-2436
Phone (857) 444-1005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25147 | Other | MA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1285 Beacon St
Brookline, MA 02446-5237
Phone (617) 983-7025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25147 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marathon Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Marathon Physical Therapy and Sports Medicine, LLC | Physical Therapist | Past | Accepting new patients |
| Brigham and Womens Physicians Organization Inc | Past | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
1285 Beacon St
Ste 2
Brookline, MA 02446
Phone (857) 307-4680
1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205
606 Providence Hwy
Dedham, MA 02026
Phone (857) 444-1010
250 E Main St
Norton, MA 02766
Phone (508) 285-5533
99 Vanderbilt Ave
Norwood, MA 02062
Phone (781) 352-5400
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Physical Therapist
- Norton, MA
- NPI 1225161193
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1265464598
-
- Physical Therapist
- Newton, MA
- NPI 1346373115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1023610201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E MAIN ST",
"city": "NORTON",
"state": "MA",
"postal_code": "027662436",
"telephone_number": "857-444-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 PROVIDENCE HWY",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020266804",
"telephone_number": "857-444-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREELING",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25147",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "25147",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dedham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.