Individual provider Active NPI

Breland Basler, DPT

  • Physical Therapist
  • Arnold, MO
National Provider Identifier
1124542915
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2017026590 Issued in MO
Practice address
160 Richardson Xing
Arnold, MO 63010-6023
Phone
(636) 467-2730
NPI assigned
Aug 2, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2017026590 MO Primary

Addresses

Primary practice location

160 Richardson Xing
Arnold, MO 63010-6023

Mailing address

160 Richardson Xing
Arnold, MO 63010-6023
Phone (636) 467-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171102000551 MO Practitioner - Physical Therapist in Private Practice 5496011710 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017026590MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold Physical Therapy & Sports Medicine LLC CurrentSince Aug 1, 2017 Accepting new patients
Arnold Physical Therapy & Sports Medicine LLC CurrentSince Aug 1, 2017 Accepting new patients
Physical Therapy Spine & Sports Medicine LLC Past Accepting new patients
Physical Therapy Spine & Sports Medicine LLC Past Accepting new patients

Locations

160 Richardson Xing
Arnold, MO 63010
Phone (636) 467-2730

9594 Manchester Rd
Saint Louis, MO 63119
Phone (314) 274-6314

2046 Queensbrooke Blvd
Ste 101
Saint Peters, MO 63376
Phone (636) 875-7085

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

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124542915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RICHARDSON XING",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106023",
            "telephone_number": "636-467-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RICHARDSON XING",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630106023",
            "telephone_number": "636-467-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASLER",
        "first_name": "BRELAND",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017026590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.