Breanna Leigh Bender, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

075110 Issued in IA

Practice address

3 Russell Slade Blvd
Coralville, IA 52241-2667

Phone

(319) 930-3000

NPI assigned

Dec 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Breanna Leigh Uetz Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fox Rehab PT Ia PLLCGroup PAC ID 5193119733, 59 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fox Rehab PT Ia PLLC

  • Physical Therapist
  • Norwalk, IA
  • NPI 1730840240
  Medicare reassignment Care Compare group NPD
• Element Therapy Solutions

  • Occupational Therapist
  • Cedar Rapids, IA
  • NPI 1528727278

  Physical Therapist

  Medicare reassignment NPD
• Keystone North Liberty, LLC

  • Assisted Living Facility
  • North Liberty, IA
  • NPI 1295349207
  NPD (past)

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

{
    "created_epoch": "1417824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1730587858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E BREMER AVE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773435",
            "telephone_number": "319-352-4544",
            "fax_number": "319-352-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 RUSSELL SLADE BLVD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412667",
            "telephone_number": "319-930-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 E Bremer Ave",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "IA",
            "postal_code": "506773435",
            "country_code": "US",
            "telephone_number": "319-352-4544",
            "fax_number": "319-352-4655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1275 W Forevergreen Rd",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523178533",
            "country_code": "US",
            "telephone_number": "319-459-1964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENDER",
        "first_name": "BREANNA",
        "middle_name": "LEIGH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-06",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "075110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "UETZ",
            "middle_name": "LEIGH",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Be Well Chiro
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• Zachary J Behrendt, DDS
• Rachael Belen
• Aaron Bradford Benson, MOT, OTR/L
• Sheena Benson
• Elizabeth Catherine Berigan, M.D.
• Adam Dane Bernard, FNP-C
• Jennifer L Berns Clinton, PA-C

• Physical Therapist in Coralville, IA
• Providers in Coralville, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.