BREANNA NICOLE SMITH


Address: 4010 W 65th St, Edina, MN 55435-1706
Phone: 9524567000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist 10887 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers BREANNA SMITH

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

Office Location

Street Address 4010 W 65TH ST
City EDINA
State MN
Zip Code 55435-1706

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(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

Providers in the same taxonomy and city

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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City EDINA
Zip Code 55435

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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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