Breanna Maree Duso, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P23621 Issued in NC

Practice address

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774

Phone

(910) 484-4653

Fax

(910) 483-9256

NPI assigned

Apr 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select CS Physical Therapy PCGroup PAC ID 1355742081, 177 clinicians

All Star Physical TherapyGroup PAC ID 7719030949, 149 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.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  Medicare reassignment Care Compare group NPD
• Select CS Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Marina del Rey, CA
  • NPI 1043894090
  Medicare reassignment Care Compare group
• Cumberland County Hospital System Inc

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242

  Physical Therapy

  Medicare reassignment NPD
• Western Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Colusa, CA
  • NPI 1740216332

  Physical Therapist

  Medicare reassignment NPD
• Cumberland County Hospital System Inc

  • Otolaryngology Physician
  • Fayetteville, NC
  • NPI 1316346976
  NPD
• Cumberland County Hospital System Inc

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743

  Physical Therapy

  NPD
• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Temecula, CA
  • NPI 1679541320
  NPD
• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Corona, CA
  • NPI 1891763561
  NPD
• Western Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Weaverville, CA
  • NPI 1881135457
  NPD
• Western Physical Therapy, Inc.

  • Physical Therapist
  • Chico, CA
  • NPI 1598632697
  NPD
• Dynamx Physical Therapy, Inc. a Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Buana Park, CA
  • NPI 1053755041

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1669035002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37451 Main St",
            "address_purpose": "LOCATION",
            "city": "Burney",
            "state": "CA",
            "postal_code": "960134372",
            "country_code": "US",
            "telephone_number": "530-335-3206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUSO",
        "first_name": "BREANNA",
        "middle_name": "MAREE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019252",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295488",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharita Dunlap
• Willie Dunmore
• Dwight Leon Dunning Sr., LCMHC
• Bryan Dunston, DDS
• Ebony Dupree
• Jui Dutta
• Sarah Kristine Dvorak, CCNS, ARNP
• Ghanshyam Pradyumna Dwivedi, MD
• Ashley Dawn Marie Dykens, BCABA
• Dynamic Care Home

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.