Individual provider Active NPI

Breelyn Saner

  • Gerontology Occupational Therapist
  • Phoenix, AZ
National Provider Identifier
1700469194
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
008025 Issued in AZ
Practice address
5560 E Deer Valley Dr
Phoenix, AZ 85054-5713
Phone
(480) 725-0718
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XG0600X 008025 AZ Primary

Addresses

Primary practice location

5560 E Deer Valley Dr
Phoenix, AZ 85054-5713

Mailing address

7501 E McDowell Rd Apt 2092
Scottsdale, AZ 85257-3565
Phone (308) 520-8013

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL breesaner4

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neurologic Rehabilitation CurrentSince Sep 11, 2022 Accepting new patients

Locations

3160 N Arizona Ave
Ste 106
Chandler, AZ 85225
Phone (480) 699-4845

3961 E Guadalupe Rd
Ste 1
Gilbert, AZ 85234
Phone (480) 699-4845

Organizations & group practices 1

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1700469194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 E MCDOWELL RD APT 2092",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573565",
            "telephone_number": "308-520-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 E DEER VALLEY DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545713",
            "telephone_number": "480-725-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANER",
        "first_name": "BREELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Gerontology",
            "state": "AZ",
            "license": "008025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "breesaner4",
            "affiliation": "N",
            "endpointDescription": "first and last name",
            "address_1": "5560 E Deer Valley Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850545713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.