NIKKI S BREEN PT
NPI 1700306792
Physical Therapist in Fort Wayne, IN
Quality Rating: 82.42 out of 100 score
NPI Status: Active since June 21, 2017
Contact Information
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
ZIP 46845
Phone: (260) 266-7400
Fax: (260) 266-7439
- Individual
- Female
- Physical Therapist
- Accepts Insurance
About NIKKI BREEN
This page provides the complete NPI Profile along with additional information for Nikki Breen, a provider established in Fort Wayne, Indiana with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1700306792 assigned on June 2017. The practitioner's primary taxonomy code is 225100000X with license number 05012718A (IN). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1700306792
- Provider Name
- NIKKI S BREEN PT
- Other Name
- NIKKI SUE WILSON
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845
- Location Phone
- (260) 266-7400
- Location Fax
- (260) 266-7439
- Mailing Address
- 11109 PARKVIEW PLAZA DR # 117 FORT WAYNE, IN 46845
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-21-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 05012718A
- License State
- IN
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Evaluation for physical therapy, typically 20 minutes
Therapy procedure for walking training, each 15 minutes
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using functional activities
Therapy procedure using manual technique, each 15 minutes
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
This service was performed 87 times for 77 patientsWalking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
This service was performed 26 times for 16 patientsThis therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
This service was performed 119 times for 41 patientsThis therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
This service was performed 1,232 times for 153 patientsA therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
This service was performed 15 times for 14 patientsThis therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
This service was performed 500 times for 116 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 82.42, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 82.42 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 76.34
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 65.08
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 65.08
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 0 | 0 | 3 | 0 | 6 | 7 | 9 | 2 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 0 | 0 | 6 | 0 | 12 | 7 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 0 + 0 + 6 + 0 + 1 + 2 + 7 + 1 + 8 + 24 = 58 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 58 = 2 | 2 |
The NPI number 1700306792 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1699292722 | CHARISSE L PRALL NP Individual | Nurse Practitioner (Family) | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 484-8830 |
1992754931 | LESLIE ANNE EDGAR N.P. Individual | Nurse Practitioner (Family) | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 484-8830 |
1619371119 | CRYSTAL BRADFIELD Individual | Nurse Practitioner (Family) | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 484-8830 |
1902805351 | JULIE HERMAN P.T. Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1013907500 | DR. THOMAS M RUEDIGER PT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1144288929 | JENNIFER HENSLER P.T. Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1184657223 | JULIE MCELWAIN-GABRIEL O.T. Individual | Occupational Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1497856199 | AMY J MUHA PHYSICAL THERAPIST Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1487728671 | JENNIFER ENNIS P.T. Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1154481521 | MRS. CYNTHIA RUICH MPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1356532667 | CRYSTAL M BOURCIER DPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1396933842 | MISS ERIKA J VANENGEN PT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1760622757 | KATIE J KAISER DPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1841549896 | ASHLEY A WILSON MOTRL Individual | Occupational Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1609373711 | KRISTEN E GARLOCK PT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1285176057 | KELLY K MASARIRA PT, DPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1538612825 | CORYNN E MCKIBBEN PT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1639623663 | RYAN P NELSON DPT Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1245570167 | JILL R LINDER O.T. Individual | Occupational Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
1275054504 | SEAN P COLLINS Individual | Physical Therapist | 11143 PARKVIEW PLAZA DR STE 100 FORT WAYNE, IN 46845 (260) 266-7400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700306792, enumerated in the NPI registry as an "individual" on June 21, 2017
The provider is located at 11143 Parkview Plaza Dr Ste 100 Fort Wayne, In 46845 and the phone number is (260) 266-7400
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Meridian, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
The most common procedures or services performed by this practitioner are: Evaluation for physical therapy, typically 20 minutes, Therapy procedure for walking training, each 15 minutes, Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapy procedure using functional activities and Therapy procedure using manual technique, each 15 minutes.
This NPI record was last updated on June 21, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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