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

Breanna Rochelle Edenborough, PT

Individual provider Physical Therapist · NPI 1174262646

Breanna Rochelle Edenborough, PT is a Physical Therapist in Private Practice in Shawnee, Oklahoma. Qualified in 2017, 9 years ago. Practices with Saints Medical Group, LLC, a 431-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4651 N Harrison St
Shawnee, OK 74804-1440
Phone: (405) 214-1524
Fax: (405) 395-5653
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5327 (OK)

Record details

NPI number1174262646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 2, 2022
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Saints Medical Group, Llc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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