Active NPI
Rhonda Marie Breakfield-Uggen, PT
- Physical Therapist
- Saint Paul, MN
National Provider Identifier
1548304520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5566
- Practice address
- 1710 Suburban Ave
Saint Paul, MN 55106-6636 - Phone
- (651) 254-3200
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5566 | MN | Primary |
Addresses
Primary practice location
1710 Suburban Ave
Saint Paul, MN 55106-6636
Mailing address
4500 Chatsworth St N
Shoreview, MN 55126-2207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5566 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1548304520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 CHATSWORTH ST N",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551262207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 SUBURBAN AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551066636",
"telephone_number": "651-254-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAKFIELD-UGGEN",
"first_name": "RHONDA",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "5566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.