Breanna Henderson
NPI 1073885711ActiveIndividual· Physical Therapist· Riverside, CA
Physical Therapist with Southern California Permanente Medical Group, practicing in Riverside, California. Medicare paid $344.33 for services to 11 patients in 2024.
Overview
| NPI | 1073885711 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 26, 2012 |
| Last updated in NPPES | Dec 23, 2021 |
| Certified by provider | Dec 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 34068 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 22 across 2 procedure codes |
| Paid by Medicare | $344.33 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
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