Breanna Longenette, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1321249 Issued in TX

Practice address

5833 W I 20
Arlington, TX 76017-1057

Phone

(817) 516-1115

Fax

(817) 516-1104

NPI assigned

Sep 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Breanna Bane Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services TX LLCGroup PAC ID 7113330879, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehabilitation Services TX LLC

  • Physical Therapist
  • Allen, TX
  • NPI 1710582580
  Medicare reassignment Care Compare group NPD
• Green Oaks Physical Therapy Limited Partnership

  • Physical Therapist
  • Carrollton, TX
  • NPI 1114526969
  NPD (past)
• Green Oaks Physical Therapy Limited Partnership

  • Rehabilitation Clinic/Center
  • Arlington, TX
  • NPI 1578597589

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1073163788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9629 OLIVIA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761083877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 W I 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171057",
            "telephone_number": "817-516-1115",
            "fax_number": "817-516-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGENETTE",
        "first_name": "BREANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1321249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "BANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cameron Wade Long, LPC
• Dejanae Long
• Jun Long, MD, PHD
• Kendra Erin Long, PT, DPT
• Matthew Long
• Longhorn Assist PLLC
• Michael Anthony Longo, MD
• Kim Longoria
• Douglas Edward Lopeman, PT
• Ana Cristina Lopez Gomez, DPT, PT

• Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.

Verify at the official NPI Registry.