Caili Renee Breashears, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6156 Issued in OK

Practice address

13819 Quail Pointe Dr
Oklahoma City, OK 73134-1066

Phone

(405) 467-6782

NPI assigned

Jun 10, 2022

Last updated

Sep 18, 2024By the provider in NPPES

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 identifiers 1

Other names 1

• Caili Renee Jester Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Rehab, LLC

  dba Oklahoma Pediatric Therapy Center

  • Rehabilitation Clinic/Center
  • Yukon, OK
  • NPI 1497178156

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1891424180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 HEFNER VILLAGE TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731627728",
            "telephone_number": "918-671-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13819 QUAIL POINTE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341066",
            "telephone_number": "405-467-6782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREASHEARS",
        "first_name": "CAILI",
        "middle_name": "RENEE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FSBPT",
            "identifier": "6156",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cjesteroptc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "OPTC email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1824 Commons Cir Ste B",
            "city": "Yukon",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730999538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CAILI",
            "last_name": "JESTER",
            "middle_name": "RENEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald Lee Brazell, OPTICIAN CERT ABOC
• Miranda L Brazille
• Ashley Altagracia Brea Tavarez
• Breaking Barriers Together
• Breaking Barriers Together Counseling
• Breast Cancer Screening Center of Oklahoma PC
• Breast Care Specialists of Oklahoma, LLC
• Breast MRI of Oklahoma LLC
• Helen Marie Breath
• Wyakie S Breath

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.