Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breanna Bracero, PTA

Individual provider Physical Therapy Assistant · NPI 1417493727

Breanna Bracero, PTA is a Physical Therapy Assistant in Nampa, Idaho. Licensed in Idaho, Oregon and Wyoming. Registered with an NPI since 2017.

Licensed in
ID, OR, WY
In the registry since
2017
Specialties on file
3
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4729 Stamm Ln Unit 5
Nampa, ID 83687-5761
Phone: (307) 760-1264
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9155 (ID)
Physical Therapy Assistant Taxonomy 225200000X · Licence 0824 (WY)
Physical Therapy Assistant Taxonomy 225200000X · Licence 09433 (OR)

Record details

NPI number1417493727
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJanuary 10, 2017
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address899 State Highway 230, Laramie, WY 82070-8508

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