P Praxis·MD
● Active Type 1 · Individual

Breanna Bracero, PTA

Physical Therapy Assistant·Nampa, ID· NPI 1417493727 · Enumerated 2017 · 9 years on NPI
Bracero is 1 of 12 physical therapy assistant providers in Nampa and 1 of 272 in Idaho.
NPI age
9 years
Enumerated 2017-01-10
Primary specialty
Physical Therapy Assistant
Plus 2 subspecialties
Licensed in
ID, WY, OR
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 272 active physical therapy assistant providers in Idaho.

NPI age
9 years
≈ at median (9 yr)
State licenses
3 states
Top 93% — 7% of peers are multi-state
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-01Enumerated in NPPES
2017 2026

Where they practice

Practice location
4729 Stamm Ln Unit 5
Nampa, ID 836875761
📞 3077601264
Mailing address
899 State Highway 230
Laramie, WY 820708508
📞 3077601264

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    ID license #9155WY license #0824OR license #09433 taxonomy 225200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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