Erica Breive

Individual provider Active NPI Physical Therapist · New Milford, CT

NPI 1477031458 · NPPES record last updated Aug 12, 2020

Key facts

NPI
1477031458
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
43 Main St
New Milford, CT 06776-2807
Phone
(860) 946-0710
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
11970CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart University, Inc Physical Therapist Past
since Aug 23, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

43 Main St
New Milford, CT 06776-2807

Mailing address

47 N Main St
West Hartford, CT 06107-1926
Phone (860) 409-4595

Other providers in New Milford, CT

All providers in New Milford, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.