Individual provider Active NPI

Erika Breseman, PT, DPT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1831776087
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040.0134256 Issued in VT
Practice address
91 Erie Canal Dr Ste E
Rochester, NY 14626-4603
Phone
(585) 910-2242
Fax
(585) 869-5142
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040.0134256 VT Primary

Addresses

Primary practice location

91 Erie Canal Dr Ste E
Rochester, NY 14626-4603

Mailing address

2561 Lac de Ville Blvd Ste 100
Rochester, NY 14618-5645
Phone (585) 473-1290

Other practice location 1

6534 Anthony Dr Ste C
Victor, NY 14564-1421
Phone (585) 869-5140

Other practice location 2

2561 Lac De Ville Blvd Ste 100
Rochester, NY 14618-5645
Phone (585) 473-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210415001211 VT Practitioner - Physical Therapist in Private Practice 4486062262 Reassigns benefits to 1 organization
I20241003003653 NY Practitioner - Physical Therapist in Private Practice 4486062262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040.0134256VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dee Physical Therapy Services PLC Physical Therapist CurrentSince Mar 29, 2021 Accepting new patients
Limitless Management Services, LLC PastSince Sep 30, 2024 Accepting new patients

Locations

166 Athletic Dr
Shelburne, VT 05482
Phone (802) 985-4440

23 San Remo Dr
Ste 101
South Burlington, VT 05403
Phone (802) 865-0010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1831776087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-473-1290",
            "fax_number": "585-869-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 ERIE CANAL DR STE E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264603",
            "telephone_number": "585-910-2242",
            "fax_number": "585-869-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6534 Anthony Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145641421",
            "country_code": "US",
            "telephone_number": "585-869-5140",
            "fax_number": "585-869-5142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2561 Lac De Ville Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185645",
            "country_code": "US",
            "telephone_number": "585-473-1290",
            "fax_number": "585-869-5142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESEMAN",
        "first_name": "ERIKA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.