Wendy M Breen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009253 Issued in MI

Practice address

2900 Hannah Blvd Ste B102
East Lansing, MI 48823-5374

Phone

(517) 364-8050

NPI assigned

Feb 26, 2018

Last updated

Feb 26, 2018By 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

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": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1922509991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HANNAH BLVD STE B102",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235374",
            "telephone_number": "517-364-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "WENDY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073588711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony James Brandau, D.O.
• Julie Brannan, LMSW
• Meshia Marie Branson
• Stephanie Marie-Cohen Bray, M.D.
• Isabella Leane Breece, HIGH SCHOOL DIPLOMA
• Brittany Renee Breitzke, DO
• Brandie Brenske, PTA
• Mei Bresnahan, LMSW
• Salena Bretz
• Kimberly Ann Breukink, LLMSW

• Physical Therapist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.