BREANNA NICOLE SMITH (NPI# 1386161552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386161552 |
| Entity Type | Individual |
| Full Name | BREANNA NICOLE SMITH |
| Credential | PT |
| Practice Address |
4010 W 65th St Edina MN 55435-1706 |
| Mailing Address |
4200 Dahlberg Dr Ste 300 Golden Valley MN 55422-4841 |
| Practice Telephone | 9524567000 |
| Practice Fax Number | 9524567001 |
| Mailing Telephone | 9525125600 |
| Mailing Fax Number | 9525125651 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2017-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10887 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952826 | Breanna Smith | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-05-05 |
| 1447882899 | Breanna Smith | Occupational Therapy Assistant | 13601 N Litchfield Rd Ste 124, Surprise, AZ 85379-4260 | 2020-02-04 |
| 1851921480 | Breanna Smith | Behavior Technician | 490 White Pond Dr, Akron, OH 44320-1122 | 2020-01-23 |
| 1265906630 | Breanna Marie Smith | Case Manager/Care Coordinator | 720 Wood St, Eureka, CA 95501-4413 | 2019-01-18 |
| 1376059493 | Breanna Smith | Social Worker | 1939 S Division Ave., Grand Rapids, MI 49507 | 2017-12-27 |
| 1053837906 | Breanna Rose Smith | Chiropractor | 1315 N Mountain Rd, Harrisburg, PA 17112 | 2017-08-22 |
| 1588111983 | Breanna Smith | Nurse Practitioner | 801 Saint Marys Dr Ste 205w, Evansville, IN 47714-0556 | 2016-09-02 |
| 1972902948 | Breanna Smith | Marriage & Family Therapist | 1301 Pine Ave, Long Beach, CA 90813-3124 | 2014-08-15 |
| 1306154752 | Breanna Jean Smith | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-6429 | 2010-09-20 |
| 1700011731 | Breanna Joy Smith | Physician Assistant | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 2009-05-20 |
| Street Address |
4010 W 65TH ST |
| City | EDINA |
| State | MN |
| Zip Code | 55435-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022059 | Fernando Cepollina Raduan | Orthopaedic Surgery | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-29 |
| 1164029419 | Carli Marie Walker | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2020-10-08 |
| 1740897016 | Emily Louise Langan | Nurse Practitioner | 4010 W 65th St, Edina, MN 55435-1706 | 2020-09-30 |
| 1922657501 | Chase William Hanson | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-09-06 |
| 1427610120 | Megan Lee Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2019-07-02 |
| 1902384159 | Kathleen Ann Heimer | Occupational Therapist | 4010 W 65th St, Edina, MN 55435 | 2018-07-31 |
| 1730673757 | Kaitlin Rose Peterson | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2018-06-22 |
| 1548761729 | Kaitlyn Ann Lindahl | Occupational Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2018-02-23 |
| 1891218095 | Christopher Andrew Armstrong | Physician Assistant | 4010 W 65th St, Edina, MN 55435 | 2017-07-19 |
| 1578085742 | Erik Haakon Grindal | Physician Assistant | 4010 W 65th St, Edina, MN 55435-1706 | 2017-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496278 | Mobilerehabmn | Physical Therapist | 5646 Interlachen Cir, Edina, MN 55436-1332 | 2019-09-12 |
| 1558844985 | Nicholas William Gmiterko | Physical Therapist | 3601 Minnesota Dr Ste 600, Edina, MN 55435-5248 | 2018-09-12 |
| 1689165474 | Kayla Ann Van Der Weerd | Physical Therapist | 6401 Frace Ave S, Edina, MN 55435-2104 | 2018-05-29 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1700241825 | Nicholas A. Empson | Physical Therapist | 3601 Minnesota Drive, Edina, MN 55435-5248 | 2015-12-16 |
| 1013309335 | Shelina Ishani | Physical Therapist | 6315 Timber Trl, Edina, MN 55439-1049 | 2015-02-24 |
| 1144627811 | Krishinda Michelle Lee | Physical Therapist | 6545 France Ave S Ste 160, Edina, MN 55435-2183 | 2014-11-24 |
| 1093115925 | Katherine Archbold | Physical Therapist | 3400 W 66th St Ste 300, Edina, MN 55435-2110 | 2014-08-28 |
| 1194022723 | Timothy Brenner | Physical Therapist | 4104 W 62nd St, Edina, MN 55424-1902 | 2011-02-17 |
| 1194973891 | Jared Anthony Lutz | Physical Therapist | 7900 W 78th St Ste 180, Edina, MN 55439-2537 | 2008-09-05 |
| Find all providers in EDINA | ||||
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| 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.