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

Domeciano Bretana

Individual provider Contractor · NPI 1376726265

Domeciano Bretana is a Physical Therapist in Private Practice in Indianapolis, Indiana. Qualified in 1999, 27 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
27
Licensed in
IN
In the registry since
2007
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Practice location Address checks out

5980 W 71st St Ste 102
Indianapolis, IN 46278-2711
Phone: (317) 388-0800
Fax: (317) 388-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 05009464A (IN)

Record details

NPI number1376726265
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2007
Last updated in NPPESDecember 13, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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