Organization Active NPI

Brookland Wellness Group PLLC

  • Physical Therapist
  • Washington, DC
National Provider Identifier
1356984983
Registry record updated Oct 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BROOKLAND WELLNESS GROUP PLLC
Practice address
676 Kenneth St NE
Washington, DC 20017-1420
Phone
(814) 657-4515
NPI assigned
Oct 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2019

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

Authorized official

Name
Dr. Breanne Condon, PT, DPT
Title
Owner
Phone
(814) 657-4515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

676 Kenneth St NE
Washington, DC 20017-1420

Mailing address

676 Kenneth St NE
Washington, DC 20017-1420

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572134400000",
    "number": "1356984983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 KENNETH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 KENNETH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171420",
            "telephone_number": "814-657-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLAND WELLNESS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-27",
        "last_updated": "2019-10-27",
        "status": "A",
        "authorized_official_last_name": "CONDON",
        "authorized_official_first_name": "BREANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-657-4515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2019; 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.