Active NPI
Jenna Lyn Breitinger, PT
- Physical Therapist
- Teaneck, NJ
National Provider Identifier
1821513540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01736400
- Practice address
- 1086 Teaneck Rd Ste 3E
Teaneck, NJ 07666-4855 - Phone
- (201) 833-1333
- Fax
- (201) 833-1390
- NPI assigned
- Aug 3, 2017
- Last updated
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01736400 | NJ | Primary |
Addresses
Primary practice location
1086 Teaneck Rd Ste 3E
Teaneck, NJ 07666-4855
Mailing address
14 Petersburg CT
Oak Ridge, NJ 07438-9198
Phone (215) 808-9557
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance and Concussion Therapy Center, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1086 Teaneck Rd
Ste 3E
Teaneck, NJ 07666
Phone (201) 575-6291
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physical Therapist
- Hackensack, NJ
- NPI 1609595057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501718400000",
"number": "1821513540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 PETERSBURG CT",
"city": "OAK RIDGE",
"state": "NJ",
"postal_code": "074389198",
"telephone_number": "215-808-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 TEANECK RD STE 3E",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664855",
"telephone_number": "201-833-1333",
"fax_number": "201-833-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITINGER",
"first_name": "JENNA",
"middle_name": "LYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2017-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01736400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.