Breanna Edenborough, PT
NPI 1174262646 · Physical Therapist · Shawnee, OK
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Breanna Edenborough, PT is a Physical Therapist provider in Shawnee, OK (NPI 1174262646).
Provider details
- NPI number
- 1174262646
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5327 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,803 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 633 | $28 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 568 | $21 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 288 | $20 |
| Therapy Procedure Using Functional Activities97530 | 201 | $30 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 51 | $92 |
| Electrical Stimulation (unattended), to One Or More Areas for Indication(s) Other Than Wound Care, As Part of a Therapy Plan of CareG0283 | 48 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-06-02
- Last updated
- 2022-06-02
- Certified
- 2022-06-02
Frequently asked questions
- What is Breanna Edenborough's NPI number?
- Breanna Edenborough's National Provider Identifier (NPI) is 1174262646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Breanna Edenborough's specialty?
- Breanna Edenborough is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Breanna Edenborough located?
- Breanna Edenborough's practice location on file with NPPES is 4651 N Harrison St, Shawnee, OK 74804-1440.
- What is Breanna Edenborough's phone number?
- The practice phone number listed in the NPPES registry for Breanna Edenborough is (405) 214-1524.
- Does Breanna Edenborough accept Medicare?
- Breanna Edenborough is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Breanna Edenborough's NPI active?
- Yes — Breanna Edenborough's NPI (1174262646) is active in the NPPES registry as of the last update on 2022-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.