Johanna Brescia, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

37862 Issued in FL

Practice address

8983 Okeechobee Blvd Ste 208
West Palm Beach, FL 33411-5145

Phone

(561) 478-3702

NPI assigned

Feb 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1124611611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8983 OKEECHOBEE BLVD STE 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115145",
            "telephone_number": "561-478-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8983 OKEECHOBEE BLVD STE 208",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334115145",
            "telephone_number": "561-478-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Birch Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Locust Valley",
            "state": "NY",
            "postal_code": "115601820",
            "country_code": "US",
            "telephone_number": "516-801-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESCIA",
        "first_name": "JOHANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "046550-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "37862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prosportspt@mac.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11 Birch Hill Rd",
            "city": "Locust Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115601820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jvergados@corahealth.com",
            "affiliation": "N",
            "address_1": "8983 Okeechobee Blvd Ste 208",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334115145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jacquelaine Dorothy Brennan
• Margaret Brennan, PHD
• Cristin Connery Brennen, ARNP
• Marlene Brown Brennen, DNP
• Vanessa C Brenner, LMHC
• Erica Marie Bressler
• Raul Breton Gamiotea, MD
• Gina Brett, CCC-SLP
• Marjorie Kay Bretton, LMHC CAP
• Diana Carolina Breud, MA, BCBA

• Physical Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.