Active NPI
Debra Lynn Breunling, PT
- Physical Therapist
- Wausau, WI
National Provider Identifier
1912354879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4756-24
- Practice address
- 327 N 17TH Ave
Suite 7
Wausau, WI 54401-4285 - Phone
- (715) 845-2942
- Fax
- (715) 842-3416
- NPI assigned
- May 20, 2016
- 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 | 4756-24 | WI | Primary |
Addresses
Primary practice location
327 N 17TH Ave
Suite 7
Wausau, WI 54401-4285
Mailing address
327 N 17TH Ave
Suite 7
Wausau, WI 54401-4285
Phone (715) 845-2942
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4756-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1912354879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 N 17TH AVE",
"address_2": "SUITE 7",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014285",
"telephone_number": "715-845-2942",
"fax_number": "715-842-3416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 N 17TH AVE",
"address_2": "SUITE 7",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014285",
"telephone_number": "715-845-2942",
"fax_number": "715-842-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREUNLING",
"first_name": "DEBRA",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "4756-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.