Breanne Brett, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299584 Issued in CA

Practice address

1301 E Bidwell St Ste 201
Folsom, CA 95630-3565

Phone

(916) 983-5915

NPI assigned

Dec 1, 2020

Last updated

Oct 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rebound Rehab Physical Therapy, Inc.

  • Physical Therapist
  • Rocklin, CA
  • NPI 1790986057
  Medicare reassignment NPD
• Elite Performance Sports and Physical Therapy, Inc.

  dba Elite Physical Therapy

  • Physical Therapist
  • Rocklin, CA
  • NPI 1457756702
  NPD

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1477158186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 MARINA COVE CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584669",
            "telephone_number": "916-844-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E BIDWELL ST STE 201",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303565",
            "telephone_number": "916-983-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETT",
        "first_name": "BREANNE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299584",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott David Brandt
• Kristen Michelle Branham, MPT
• Randeep Singh Brar, PMHNP
• Keith Richard Brau
• Brett Jensen, DDS, Inc.
• Adriana Marie Bridges
• Laura Brignone
• Roger Stephen Brisbane, D.C.
• Julie L Broadbent
• Broadstone Chiropractic Collins, Inc.

• Physical Therapist in Folsom, CA
• Providers in Folsom, 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 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.