Individual provider Active NPI

Brienna Horine, DPT

  • Physical Therapist
  • Saint Charles, MO
National Provider Identifier
1417490913
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2016042110 Issued in MO
Practice address
3758 Monticello PLZ
Saint Charles, MO 63304-8613
Phone
(636) 329-0110
NPI assigned
Dec 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2016042110 MO Primary

Addresses

Primary practice location

3758 Monticello PLZ
Saint Charles, MO 63304-8613

Mailing address

4021 Barlow St
Cottleville, MO 63376-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230919002216 AK Practitioner - Physical Therapist in Private Practice 6002198033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1200 W Northern Lights Blvd
Suite a
Anchorage, AK 99503-3652
Phone (907) 212-2090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Dec 16, 2024 Accepting new patients
Rebound Sports and Orthopedic Physical Therapy, LLC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Advanced Training and Rehab LLC Physical Therapist PastSince Dec 5, 2016 Accepting new patients

Locations

1200 W Northern Lights Blvd
Ste A
Anchorage, AK 99503
Phone (907) 212-2090

1980 W Benson Blvd
Anchorage, AK 99517
Phone (907) 301-8609

11260 Old Seward Hwy
Anchorage, AK 99515
Phone (907) 341-5555

3300 Providence Dr
Ste B302
Anchorage, AK 99508
Phone (907) 212-2090

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1417490913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 BARLOW ST",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633763050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3758 MONTICELLO PLZ",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048613",
            "telephone_number": "636-329-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORINE",
        "first_name": "BRIENNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016042110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.