MEDICARE: BREANNA DRIER PT, DPT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	210002464	DC
2	2255A2300X	Athletic Trainer

General Provider Information

NPI Number	:	1326504846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREANNA DRIER PT, DPT, ATC

Provider Business Mailing Address
First Line	:	1120 20TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-3406
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1120 20TH ST NW STE 116
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-3406
Country	:	US
Telephone Number	:	314-852-7798
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	02/06/2026

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