Active NPI
Breena Luers, PT, MHH, DPT
- Physical Medicine & Rehabilitation Physician
- Keota, IA
National Provider Identifier
1578100731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 004395
- Practice address
- 204 N Keokuk Washington Rd
Keota, IA 52248-9496 - Phone
- (641) 636-3400
- NPI assigned
- Dec 6, 2019
- 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 Medicine & Rehabilitation Physician | 208100000X | 004395 | IA | Primary |
Addresses
Primary practice location
204 N Keokuk Washington Rd
Keota, IA 52248-9496
Mailing address
16277 310TH Ave
Keota, IA 52248-8546
Phone (319) 430-0442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250304001054 | IA | Practitioner - Physical Therapist in Private Practice | 5991226243 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Hospital | Current | Accepting new patients | |
| Washington County Hospital | Current | Accepting new patients |
Locations
400 E Polk St
Washington, IA 52353
Phone (319) 653-5481
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Washington, IA
- NPI 1366656530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1578100731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16277 310TH AVE",
"city": "KEOTA",
"state": "IA",
"postal_code": "522488546",
"telephone_number": "319-430-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 N KEOKUK WASHINGTON RD",
"city": "KEOTA",
"state": "IA",
"postal_code": "522489496",
"telephone_number": "641-636-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUERS",
"first_name": "BREENA",
"credential": "PT, MHH, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-06",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IA",
"license": "004395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keota, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.