Individual provider Active NPI

Claressa Sue Brekke, PT, DPT

  • Physical Therapist
  • New Haven, IN
National Provider Identifier
1922520410
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013243A Issued in IN
Practice address
1316 Minnich Rd
New Haven, IN 46774
Phone
(260) 748-4864
Fax
(260) 749-5960
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012951 GA
Physical Therapist 225100000X 05013243A IN Primary

Addresses

Primary practice location

1316 Minnich Rd
New Haven, IN 46774

Mailing address

1795 Alysheba Way Ste 3202
Lexington, KY 40509-2280
Phone (859) 264-8868

Other practice location 1

1205 Johnson Ferry Rd Ste 130
Marietta, GA 30068-5401
Phone (770) 565-3201

Other practice location 2

1205 Johnson Ferry Rd Ste 130
Marietta, GA 30068-5401
Phone (770) 565-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190215002515 IN Practitioner - Physical Therapist in Private Practice 3678846482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.86 of 100Reported as group
Quality
81.29
Improvement activities
40
Cost
74.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012951GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy Indiana LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Drayer Physical Therapy Indiana LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

14580 River Rd
Ste 170
Carmel, IN 46033
Phone (317) 669-2287

474 W Plaza Dr
Columbia City, IN 46725
Phone (260) 244-8009

1035 W Eads Pkwy
Lawrenceburg, IN 47025
Phone (812) 577-0921

1316 Minnich Rd
New Haven, IN 46774
Phone (260) 748-4864

2620 Conner St
Noblesville, IN 46060
Phone (317) 770-9003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1922520410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY STE 3202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092280",
            "telephone_number": "859-264-8868",
            "fax_number": "859-264-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 MINNICH RD",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "46774",
            "telephone_number": "260-748-4864",
            "fax_number": "260-749-5960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 Johnson Ferry Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300685401",
            "country_code": "US",
            "telephone_number": "770-565-3201",
            "fax_number": "770-565-3203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 Johnson Ferry Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300685401",
            "country_code": "US",
            "telephone_number": "770-565-3201",
            "fax_number": "770-565-3203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREKKE",
        "first_name": "CLARESSA",
        "middle_name": "SUE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012951",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013243A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.