Mary Ellen Breckel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60742259 Issued in WA

Practice address

27 Colwell St
Port Hadlock, WA 98339-9701

Phone

(360) 385-9310

Fax

(360) 379-8826

NPI assigned

May 30, 2017

Last updated

May 30, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Washington School of Medicine, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Medicare reassignment
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• Dirksen Physical Therapy Inc PS

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  NPD (past)
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  • Physical Therapy Clinic/Center
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  • NPI 1922104926
  NPD (past)

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1093243578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983390897",
            "telephone_number": "360-385-9310",
            "fax_number": "360-379-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COLWELL ST",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983399701",
            "telephone_number": "360-385-9310",
            "fax_number": "360-379-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKEL",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60742259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Barrett, DDS
• Jeanne Battenburg, N.P.
• Bayside Housing & Services
• Lisa Madelle Bottomley, LMHC
• Catherine Bradley
• Cathy Brinton, ND
• Mary Angelee Limocon Brown, RDN
• Renee Collier, LMP
• Margaret Starr Corley, LMP
• Michael Dam, D.C.

• Physical Therapist in Port Hadlock, WA
• Providers in Port Hadlock, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.