Individual provider Active NPI

Breena Luers, PT, MHH, DPT

  • Physical Medicine & Rehabilitation Physician
  • Keota, IA
National Provider Identifier
1578100731
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
004395 Issued in IA
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

Updated by the provider on Dec 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Washington County Hospital CurrentSince Feb 1, 2025 Accepting new patients
Washington County Hospital CurrentSince Feb 1, 2025 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.

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.

Verify at the official NPI Registry.