BREANNE SHRUM (NPI# 1144747189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144747189 |
| Entity Type | Individual |
| Full Name | BREANNE SHRUM |
| Credential | PTA, CFO |
| Practice Address |
943 Maple Dr Morgantown WV 26505-2812 |
| Practice Telephone | 3045992515 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CFO04481 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225200000X | Physical Therapy Assistant | PTA002315 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
943 MAPLE DR |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942241807 | Heikki J Riivald | Physical Therapist | 943 Maple Dr, Morgantown, WV 26505-2812 | 2006-06-09 |
| 1265058465 | Alex Lee Stahl | Physician Assistant | 943 Maple Dr, Morgantown, WV 26505-2812 | 2020-06-23 |
| 1154977932 | Presley Merrill | Massage Therapist | 943 Maple Dr, Morgantown, WV 26505-2812 | 2019-08-16 |
| 1124587076 | Lucas Baker | Specialist/Technologist | 943 Maple Dr, Morgantown, WV 26505-2812 | 2019-03-19 |
| 1912485194 | Rafaela Martin Barbosa | Physical Therapy Assistant | 943 Maple Dr, Morgantown, WV 26505-2812 | 2018-07-31 |
| 1003304015 | Julie Beth Wilson Shinaberry | Massage Therapist | 943 Maple Dr, Morgantown, WV 26505-2812 | 2018-04-25 |
| 1891213823 | Alison Kimble | Orthotic Fitter | 943 Maple Dr, Morgantown, WV 26505-2812 | 2017-08-30 |
| 1730602392 | Jocelyn Faith Thomas | Massage Therapist | 943 Maple Dr, Morgantown, WV 26505-2812 | 2017-07-25 |
| 1073046645 | Erin Gilson | Massage Therapist | 943 Maple Dr, Morgantown, WV 26505-2812 | 2017-04-10 |
| 1205368057 | Michael Casselman | Specialist/Technologist | 943 Maple Dr, Morgantown, WV 26505-2812 | 2017-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891213823 | Alison Kimble | Orthotic Fitter | 943 Maple Dr, Morgantown, WV 26505-2812 | 2017-08-30 |
| 1235415910 | Clifton Nathaniel Royse | Orthotic Fitter | 943 Maple Dr, Morgantown, WV 26505-2812 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588730386 | Beckley Orthotics and Prosthetics LLC | Orthotic Fitter | 471 North Vance Drive, Beckley, WV 25801-0471 | 2006-11-27 |
| 1730252958 | Michael J Zones | Orthotic Fitter | 821 6th Avenue, Huntington, WV 25701 | 2006-11-16 |
| 1194179648 | Ashley Butcher | Orthotic Fitter | 409 S Pike St, Shinnston, WV 26431-1125 | 2016-04-21 |
| City | MORGANTOWN |
| Zip Code | 26505 |
Please comment or provide details below to improve the information on BREANNE SHRUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.