Susan Marie Breunig, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35793 Issued in CA

Practice address

3200 4TH Ave
Suite 100
San Diego, CA 92103-5716

Phone

(619) 420-0869

Fax

(619) 420-3355

NPI assigned

Oct 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chad Morris Physical Therapy

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1295876282
  NPD (past)
• Nexus Physical Therapy

  • Physical Therapist
  • Elcajon, CA
  • NPI 1952461741
  NPD (past)

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1427383702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919114303",
            "telephone_number": "619-420-0869",
            "fax_number": "619-420-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 4TH AVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035716",
            "telephone_number": "619-420-0869",
            "fax_number": "619-420-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUNIG",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PT35793",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Roy Bretow, D.C.
• Brett a Gidney MD a Medical Corporation
• Kaighley Brett, MD
• Lise I Bretton, MLIS, AHIP
• Paulina Bretts
• Brew Chiropractic, a Professional Corporation
• Kristine Kay Brew, D.C.
• Shawnee Brew, PSY.D.
• Abby Marie Brewer-Johnson, PSY.D.
• Angela Brewer, RN

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.