Breanne M Duvendeck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018276 Issued in MI

Practice address

33200 W 14 Mile Rd Ste 160
West Bloomfield, MI 48322-3587

Phone

(248) 538-7607

Fax

(248) 538-7623

NPI assigned

Sep 5, 2013

Last updated

Jul 21, 2022By 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 2

Addresses

Other names 1

• Breanne M Zaremba Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dearborn Physical Therapy LTD.

  dba Advanced Physical Therapy

  • Physical Therapy Clinic/Center
  • West Bloomfield, MI
  • NPI 1285676692

  Physical Therapist

  NPD (past)
• Dearborn Physical Therapy LTD.

  dba Advanced Physical Therapy

  • Physical Therapist
  • Waterford, MI
  • NPI 1316622806
  NPD (past)
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1104836105
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477988723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD STE 160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223587",
            "telephone_number": "248-538-7607",
            "fax_number": "248-538-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD STE 160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223587",
            "telephone_number": "248-538-7607",
            "fax_number": "248-538-7623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 Broadway, Suite 100",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "62301",
            "country_code": "US",
            "telephone_number": "217-222-9300",
            "fax_number": "217-222-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUVENDECK",
        "first_name": "BREANNE",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020253",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "ZAREMBA",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Marie Dunn, M.A., CCC-SLP
• Amy D Dunn, MD
• James Thomas Dunn, BS, CPHT
• Brittany Taylor Durecki, DNP, FNP-BC
• Amarachi Charity Duru
• Mahmoud Ahmed Dwaik, NP
• Dwight Ortho - West Bloomfield Inc
• Dynamic Care Solutions LLC
• E.S.S.I.E., LLC
• Eager Minds Montessori LLC (Absorbent Minds)

• Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.