Breanna Clauser, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-32740 Issued in AZ

Practice address

15905 S 46TH St Ste 140
Phoenix, AZ 85048-2206

Phone

(480) 805-8304

Fax

(480) 805-8304

NPI assigned

Jan 9, 2023

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

Other names 1

• Breanna M Wilcox Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waits Physical Therapy LLCGroup PAC ID 5092173740, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Waits Physical Therapy LLC

  dba Waits Physical Therapy

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1619683240
  Medicare reassignment Care Compare group NPD
• On the Mend on the Move Physical Therapy, Inc.

  • Physical Therapist
  • Mesa, AZ
  • NPI 1528011178
  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1194439828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5718",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599035718",
            "telephone_number": "480-756-0134",
            "fax_number": "406-309-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15905 S 46TH ST STE 140",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850482206",
            "telephone_number": "480-805-8304",
            "fax_number": "480-805-8304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7525 E Broadway Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852081156",
            "country_code": "US",
            "telephone_number": "480-354-2911",
            "fax_number": "480-984-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 S Country Club Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106044",
            "country_code": "US",
            "telephone_number": "480-436-5099",
            "fax_number": "480-436-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAUSER",
        "first_name": "BREANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-32740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "WILCOX",
            "middle_name": "M",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Classical Physical Therapy
• Classy Sisters Wigs, LLC
• Collin R Clatanoff, DDS
• Melissa Clatone, L.P.N.
• Melissa Jelin Claudio, GNP
• Jennifer Lynn Clausing, OTD
• Mara Clawson, DNP
• Aaron James Clay, D.O.
• Jennifer Clay
• Katrina Yvette Clay, BHPP

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.