BREANNA ANGELA BALTRUSCH


Address: 2515 N Clark St Ste 802, Chicago, IL 60614-2730
Phone: 3122276210

BREANNA ANGELA BALTRUSCH (NPI# 1396371225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396371225
Entity Type Individual
Full Name BREANNA ANGELA BALTRUSCH
Credential CPO, LPO
Practice Address 2515 N Clark St Ste 802
Chicago
IL 60614-2730
Mailing Address 225 E Chicago Ave # 46
Chicago
IL 60611-2991
Practice Telephone 3122276210
Mailing Telephone 3122276210
Enumeration Date 2020-03-23
Last Update Date 2020-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Z00000X Orthotist 213.000402 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 224P00000X Prosthetist 211.000354 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2515 N CLARK ST STE 802
City CHICAGO
State IL
Zip Code 60614-2730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306981345 Matthew Alan Goddard Orthotist 2515 N Clark St Ste 802, Chicago, IL 60614-2730 2007-02-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1356975692 Amarilis Diaz Social Worker Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 2020-02-25
1457902975 Michele Waggoner Physical Therapist 2515 N. Clark St, Chicago, IL 60614 2019-09-25
1669031936 Justin Pomeroy Acupuncturist 1350 W. Schubert Ave., Chicago, IL 60614 2019-06-11
1801451547 Amanda Harris Counselor 2451 N Lincoln Ave # 206, Chicago, IL 60614 2019-05-08
1780164574 Danielle Trokey Psychiatry & Neurology 2515 N Clark St Ste 801, Chicago, IL 60614 2018-08-21
1841707353 Madison Counseling Solutions LLC Social Worker 2502 N. Clark St., Chicago, IL 60614 2018-01-05
1386154011 Allison Cooper Boyan Occupational Therapist 1640 N. Wells St., Unit 103, Chicago, IL 60614 2017-10-09
1245759653 Eileen Davidson Siegel Physician Assistant 2073 N. Clybourn Ave., Chicago, IL 60614 2017-09-18
1447779814 Elizabeth Hobart Psychologist 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 2017-09-16
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Taxonomy Information

Taxonomy Code 222Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831691104 Ashley Zinnamon Orthotist 1525 E 55th St Ste 204, Chicago, IL 60615-5512 2018-03-02
1699896431 Timothy W Porcelli Orthotist 3723 N Southport, Chicago, IL 60613-3718 2007-04-02
1306981345 Matthew Alan Goddard Orthotist 2515 N Clark St Ste 802, Chicago, IL 60614-2730 2007-02-20
1386781755 Andreas Josef Bohner Orthotist 2300 N Childrens Plz # 46, Chicago, IL 60614-3363 2007-02-01
1568509040 Robert Allen Novak Orthotist 5521 N Cumberland Ave, Suite 1115, Chicago, IL 60656-4717 2007-01-31
1063062370 Michael Socie Orthotist 355 E Erie St, Chicago, IL 60611-3167 2019-09-18
1679034177 Sara L Jerousek Orthotist 225 E Chicago Ave, Chicago, IL 60611 2019-03-27
1083195424 Erin Claussen Orthotist 225 E Chicago Ave # 46, Chicago, IL 60611-2991 2018-08-23
1215423843 Sourabh Nagale Orthotist 2515 N Clark St, Ste 802, Chicago, IL 60614 2018-07-06
1447747308 Michael Elsen Orthotist 1725 W Harrison St Ste 220, Chicago, IL 60612-3836 2018-04-17
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Competitor

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City CHICAGO
Zip Code 60614

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Dataset Information

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.

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