Active NPI
Teresa Breen, PT/L
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1407002173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010256
- Practice address
- 1960 Madison Rd
Cincinnati, OH 45206-1828 - Phone
- (513) 751-5880
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 010256 | OH | Primary |
Addresses
Primary practice location
1960 Madison Rd
Cincinnati, OH 45206-1828
Mailing address
3277 Hanna Ave
Cincinnati, OH 45211-6848
Phone (513) 871-2993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010256 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1407002173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3277 HANNA AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452116848",
"telephone_number": "513-871-2993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1960 MADISON RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061828",
"telephone_number": "513-751-5880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEN",
"first_name": "TERESA",
"credential": "PT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "010256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.