Breanne Walkowiak, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

55010180025 Issued in MI

Practice address

3435 Livernois Rd
Troy, MI 48083-5063

Phone

(242) 353-1234

Fax

(248) 743-1237

NPI assigned

Jan 9, 2017

Last updated

Jan 9, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Auto & Work Comp Rehab LLC

  • Physical Therapy Clinic/Center
  • Southfield, MI
  • NPI 1750618898
  NPD (past)
• Joseph Advanced Facial Plastic Surgery, PLLC

  dba JOSEPH Advanced Oculofacial Plastic Surgery

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Troy, MI
  • NPI 1154082428
  NPD (past)

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1366988859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29255 NORTHWESTERN HWY",
            "address_2": "SUITE 300",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341018",
            "telephone_number": "248-353-1234",
            "fax_number": "242-353-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835063",
            "telephone_number": "242-353-1234",
            "fax_number": "248-743-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKOWIAK",
        "first_name": "BREANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "55010180025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ione Clair Walker, PHARMD
• Jennifer Walker, CMT
• Katherine Colleen Walker, NP
• Nakia Walker
• Sha-Rhonda Nicole Walker
• Olivia Nella Walkuski
• Walmart
• Matthew Walsh
• Jennifer Rita Walster
• Megan Elizabeth-Morehouse Walter, DPT

• Physical Therapist in Troy, MI
• Providers in Troy, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.