Breanne Maruca, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT026203 Issued in PA

Practice address

1104 W High St Ste 2
Ebensburg, PA 15931-1707

Phone

(814) 478-2087

NPI assigned

Aug 8, 2017

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 names 1

• Mrs. Branne James Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drayer Physical Therapy Institute LLCGroup PAC ID 8224948666, 213 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Hummelstown, PA
  • NPI 1538122700
  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • York, PA
  • NPI 1053348409
  NPD

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1497270730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W HIGH ST STE 2",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311707",
            "telephone_number": "814-478-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W HIGH ST STE 2",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311707",
            "telephone_number": "814-478-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARUCA",
        "first_name": "BREANNE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANNE",
            "last_name": "JAMES",
            "prefix": "MRS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mainline Pharmacy Ebensburg LLC
• Jennifer Kay Malone
• Maple Heights Health & Rehab Center, LLC
• Linda Diane Mardula, PA-C
• Kristine Marie Martin, BA
• David Douglas Maruca, DMD
• Robert Regis Maruca, DDS
• Matthew Mastrine, O.D.
• Nicole Lynne Mauro, DPT
• Tracey McCaulley, RN

• Physical Therapist in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.