Maghan C Bretz, PT
Individual provider Active NPI Physical Therapist · Evansville, IN
NPI 1124239520 · NPPES record last updated Jul 27, 2017
Key facts
- NPI
- 1124239520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05007272A (IN)
- Practice address
- 14020 Old State Rd Ste D100
Evansville, IN 47725-1167 - Phone
- (812) 469-4770
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Health Inc
Practice addresses (Care Compare)
14020 Old State Rd
Suite D100
Evansville, IN 47725-1164
Phone (812) 469-4470
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170815000968 | IN | Practitioner - Physical Therapist in Private Practice | 2961774716 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Health, Inc | Current |
Accepting new patients | |
| St. Mary'S Health, Inc | Physical Therapist | Current |
Accepting new patients |
| St. Mary'S Health, Inc | Physical Therapist | Current | Accepting new patients |
Locations
5927 Reliable Pkwy
Chicago, IL 60686
516 Court St
#A
Evansville, IN 47708
Phone (812) 485-2100
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
14020 Old State Rd
Ste D100
Evansville, IN 47725
Phone (812) 469-4470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05007272A | IN | Yes |
Addresses
Primary practice location
14020 Old State Rd Ste D100
Evansville, IN 47725-1167
Mailing address
5927 Reliable Pkwy
Chicago, IL 60686-0001
Other providers in Evansville, IN
- Breakthrough Counseling, Inc.
- Jason Bredenkamp
- Robert Lee Breeze
- Brendan Wrynn
- Jan C Brennan
- Charles W Brian
- Lisa Bridwell
- Madison Marie Bridwell
- Brighter Side
- Brighter Side Recovery LLP
All providers in Evansville, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.