NIKKI S BREEN (PT) – Physical Therapist, NPI 1700306792

NIKKI S BREEN (PT) is a healthcare provider. based in Fort wayne, Indiana. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 05012718A (IN). The NPI Number for NIKKI S BREEN (PT) is 1700306792

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NIKKI S BREEN (PT)
NPI
1700306792
Phone
Not provided
Address
11109 PARKVIEW PLAZA DR # 117
Enumeration Date
21 June 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2602667400
Graduation Year
2017 (9 years ago)
PAC ID
3476819202
Group Practice PAC ID
5698071611
Professional Enrollment ID
I20171113000561
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for NIKKI S BREEN (PT)

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • Parkview Ortho Hospital, 11130, Parkview Circle, Fort Wayne, Allen County, Indiana, 46845, United States

    FORT WAYNE, IN 468451735

    Phone: (260) 266-7400

    Type: Mailing

  • 11143 PARKVIEW PLAZA DR STE 100

    FORT WAYNE, IN 468451728

    Phone: (260) 266-7400

    Fax: (260) 266-7439

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171113000561IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,149173$0
97140Therapy procedure using manual technique, each 15 minutes624134$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33096$0
97161Evaluation for physical therapy, typically 20 minutes8174$0
97530Therapy procedure using functional activities7445$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698071611View full group profile

Reviews

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Frequently asked questions

Does NIKKI S BREEN (PT) have a public NPI I can cite?
Public records show NIKKI S BREEN (PT) under NPI 1700306792.
Does the public listing show NIKKI S BREEN (PT) as active?
NIKKI S BREEN (PT)'s NPI record reflects an active status in NPPES.
What services align with NIKKI S BREEN (PT)'s listing?
NIKKI S BREEN (PT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to NIKKI S BREEN (PT)?
NIKKI S BREEN (PT) shows a connection to Fort Wayne, Indiana in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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