Coral N Breuning, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Charlotte Amalie, VI
NPI 1154093201 · NPPES record last updated Nov 26, 2023
Key facts
- NPI
- 1154093201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 290 (VI)
- Practice address
- 7280 Frenchman Bay
Charlotte Amalie, VI 00802 - Phone
- (340) 642-5602
- NPI assigned
- Sep 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rebound Physical Therapy LLC
Jessica Schnell Physical Therapy, LLC
Practice addresses (Care Compare)
203 Oak St
Natick, MA 01760-1344
Phone (508) 651-0051
27 Southside Rd
Cruz Bay St John, VI 00830-1113
Phone (340) 514-2376
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, VI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211026000823 | MA | Practitioner - Physical Therapist in Private Practice | 3678961539 | Reassigns benefits to 1 organization |
| I20260417003322 | VI | Practitioner - Physical Therapist in Private Practice | 3678961539 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25582 | MA | MD | Physical Therapist |
| 290 | VI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jessica Schnell Physical Therapy, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25582 | MA | |
| Orthopedic Physical Therapist | 2251X0800X | 290 | VI | Yes |
Addresses
Primary practice location
7280 Frenchman Bay
Charlotte Amalie, VI 00802
Mailing address
7280 Frenchman Bay
St Thomas, VI 00802-2809
Phone (340) 514-2376
Other practice location 1
203 Oak St
Natick, MA 01760-1344
Phone (508) 651-0051
Other providers in Charlotte Amalie, VI
- Able Investments, LLC
- Ann Gruver Barnard
- Normajean Harbur Basile
- Kadian Bennett
- Andrew Martin Buckley
- Central Ambulance Services Inc.
- Kelly Edens
- Randall Emert
- Janet Nicole Horgan
All providers in Charlotte Amalie, VI · Orthopedic Physical Therapist in U.S. Virgin Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2023. 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.