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MRS. BREANNA ROSE RICKEY DPT
NPI 1235086141
Physical Therapist - Neurology in Fort Wayne, IN

Active since March 11, 2026
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-2302 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Breanna Rose Rickey Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BREANNA ROSE RICKEY DPT (NPI 1235086141) is an individual neurology provider in Fort Wayne, Indiana, licensed in Indiana (05015389A) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1235086141
Entity TypeIndividualFemale
Primary Taxonomy2251N0400X
Provider Legal NameMRS. BREANNA ROSE RICKEYCredential: DPT
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address2200 Randallia DrFort Wayne, IN 46805-4638 · (260) 373-2302
Phone(260) 373-2302
Sole ProprietorYes
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1235086141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251N0400X
License✔ Licensed in IN · 05015389A
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
2200 RANDALLIA DR, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALLIKA GYAWALI MD
Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
CHRISTINA MCGUIRK
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MS. KARI M RASMUSSEN PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
MR. THOMAS G EDWARDS PA-C
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-4000
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC.
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (800) 727-8439
JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 266-4172
DAVID R WANG DO, MPH
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-7765
CHELSIE MCSORLEY NP
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Allen County (260) 373-0670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Rickey's NPI number?

The NPI number for Breanna Rickey is 1235086141. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Where is Breanna Rickey located?

Breanna Rickey practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 373-2302.

What is Breanna Rickey's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

When was this NPI record last updated?

The NPPES record for Breanna Rickey was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.