Individual provider Active NPI

Breanna Michele Wheeler, DPT

  • Physical Therapist
  • Richland, WA
National Provider Identifier
1922781913
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61431283 Issued in WA
Practice address
1455 Columbia Park TRL Ste 102
Richland, WA 99352-4721
Phone
(509) 396-3707
Fax
(509) 396-3710
NPI assigned
Aug 8, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT61431283 WA Primary

Addresses

Primary practice location

1455 Columbia Park TRL Ste 102
Richland, WA 99352-4721

Mailing address

1455 Columbia Park TRL Ste 102
Richland, WA 99352-4721
Phone (509) 396-3707

Other practice location 1

1549 Georgia Ave # A
Richland, WA 99352-4756
Phone (509) 735-1062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231026003085 WA Practitioner - Physical Therapist in Private Practice 3779939731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Solutions PLLCGroup PAC ID 5395737837, 3 clinicians

Practice addresses (Care Compare)

1455 Columbia Park TRL
Suite 102
Richland, WA 99352-4711

1455 Columbia Park TRL
Suite 102
Richland, WA 99352-4721
Phone (509) 396-3707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Solutions PLLC Physical Therapist CurrentSince Sep 2, 2023 Accepting new patients
Childrens Developmental Center Past Accepting new patients

Locations

1455 Columbia Park Trl
Ste 102
Richland, WA 99352
Phone (509) 396-3707

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

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1922781913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 COLUMBIA PARK TRL STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524721",
            "telephone_number": "509-396-3707",
            "fax_number": "509-396-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 COLUMBIA PARK TRL STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524721",
            "telephone_number": "509-396-3707",
            "fax_number": "509-396-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1549 Georgia Ave # A",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993524756",
            "country_code": "US",
            "telephone_number": "509-735-1062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "BREANNA",
        "middle_name": "MICHELE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61431283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.