Individual provider Active NPI

Breanne Elyse Huffman, PT, DPT

  • Physical Therapist
  • Powell, OH
National Provider Identifier
1417649674
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020460 Issued in OH
Practice address
224 W Olentangy St
Powell, OH 43065-8433
Phone
(614) 460-9507
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 PT020460 OH Primary

Addresses

Primary practice location

224 W Olentangy St
Powell, OH 43065-8433

Mailing address

532 Salisbury Dr
Powell, OH 43065-8378
Phone (614) 519-3984

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025003638 OH Practitioner - Physical Therapist in Private Practice 0941656037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Ohio State University College of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Greentree Wellness, LLCGroup PAC ID 7416302740, 4 clinicians

Practice addresses (Care Compare)

224 W Olentangy St
Powell, OH 43065-8433
Phone (614) 872-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greentree Wellness, LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients

Locations

224 W Olentangy St
Powell, OH 43065
Phone (614) 460-9507

Organizations & group practices 1

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1417649674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 SALISBURY DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658378",
            "telephone_number": "614-519-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W OLENTANGY ST",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658433",
            "telephone_number": "614-460-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "BREANNE",
        "middle_name": "ELYSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.