Deidra Breitenbach, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002215 Issued in KY

Practice address

321 S 3Rd St
Danville, KY 40422-2090

Phone

(859) 236-7012

Fax

(859) 236-7407

NPI assigned

Nov 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Danville Orthopaedics and Sports Medicine PSCGroup PAC ID 3971575515, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Danville Orthopaedics & Sports Medicine, PSC

  • Orthopaedic Surgery Physician
  • Danville, KY
  • NPI 1477547073

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Integrity Diagnostics, PLLC

  • Clinical Electrophysiology Physical Therapist
  • Richmond, KY
  • NPI 1275128563
  NPD (past)
• Professional Rehabilitation Associates, PSC

  • Physical Therapist
  • Richmond, KY
  • NPI 1669463170
  NPD (past)

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1821089632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222090",
            "telephone_number": "859-236-7012",
            "fax_number": "859-236-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S 3RD ST",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222090",
            "telephone_number": "859-236-7012",
            "fax_number": "859-236-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITENBACH",
        "first_name": "DEIDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-01",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87001574",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Landrum Boyd, D.M.D.
• Boyle County Board of Education
• Boyle County Fiscal Court
• Boyle County Health Dept
• Kathy Brackett Benge, L.M.T.
• Rachel Cooper Briese, PNP
• Shea Brittain, PSS
• Annie Nichole Brookbank, APSS, CSA
• Amelia Brown, APRN
• Marcus Quontez Brown, DPT

• Physical Therapist in Danville, KY
• Providers in Danville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.