Breanne Phillips Muthler, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT025815 Issued in PA

Practice address

685 Carey Ave
Hanover Township, PA 18706-5489

Phone

(570) 829-0539

Fax

(570) 829-4036

NPI assigned

Jul 27, 2017

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 names 1

• Breanne Nicole Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1871017228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DR",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178096",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CAREY AVE",
            "city": "HANOVER TOWNSHIP",
            "state": "PA",
            "postal_code": "187065489",
            "telephone_number": "570-829-0539",
            "fax_number": "570-829-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHLER",
        "first_name": "BREANNE",
        "middle_name": "PHILLIPS",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNE",
            "last_name": "PHILLIPS",
            "middle_name": "NICOLE",
            "credential": "PT DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Hanover Township, PA
• Providers in Hanover Township, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.