Susan Marie Brecko, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012776L Issued in PA

Practice address

491 E 8TH Ave
Homestead, PA 15120-1901

Phone

(412) 462-2101

NPI assigned

Mar 28, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1154440709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 E 8TH AVE",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201901",
            "telephone_number": "412-462-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 E 8TH AVE",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201901",
            "telephone_number": "412-462-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECKO",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT012776L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CommunityLifeHomestead@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "Community LIFE Center Direct Address",
            "address_1": "491 E 8th Ave",
            "city": "Homestead",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151201901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Physical Therapist in Homestead, PA
• Providers in Homestead, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.