MS. JENNY M BRECKENRIDGE (P.T.) – Physical Therapist, NPI 1073610614

MS. JENNY M BRECKENRIDGE (P.T.) is a healthcare provider. based in Burlington, Vermont. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 0400003487 (VT). The NPI Number for MS. JENNY M BRECKENRIDGE (P.T.) is 1073610614

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNY M BRECKENRIDGE (P.T.)
NPI
1073610614
Phone
(802) 860-6184
Address
64 SCARFF AVE
Enumeration Date
17 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028646262
Graduation Year
2002 (24 years ago)
PAC ID
7517326606
Group Practice PAC ID
5890795348
Professional Enrollment ID
I20230707001605
Address ID
VT054036371SX10XXXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

300 PHYSICAL THERAPIST IN PRIVATE PRACTICE in VT

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Provider Addresses for MS. JENNY M BRECKENRIDGE (P.T.)

  • 64, Scarff Avenue, The Addition, South End, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054015034

    Phone: (802) 860-6184

    Type: Mailing

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    SHEPARDSON 2

    BURLINGTON, VT 054011473

    Phone: (802) 847-2450

    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: 2023-07-07

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
I20230707001605IPhysical Therapist In Private PracticeVTTBD

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
97530Therapy procedure using functional activities23711$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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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: 5890795348View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
Physical Therapist In Private PracticeVT
-VT

Reviews

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Frequently asked questions

Is MS. JENNY M BRECKENRIDGE (P.T.) listed with a National Provider Identifier?
Yes — MS. JENNY M BRECKENRIDGE (P.T.) has NPI 1073610614 on file in the registry.
Is there an active status for MS. JENNY M BRECKENRIDGE (P.T.)?
For scheduling context, MS. JENNY M BRECKENRIDGE (P.T.) is shown as active in the registry.
What kind of doctor is MS. JENNY M BRECKENRIDGE (P.T.)?
MS. JENNY M BRECKENRIDGE (P.T.) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is MS. JENNY M BRECKENRIDGE (P.T.) located near Burlington?
MS. JENNY M BRECKENRIDGE (P.T.) currently maps to Burlington, Vermont in this extract.
Can I trust this NPI listing for MS. JENNY M BRECKENRIDGE (P.T.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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