Brooke Breeden
Individual provider Active NPI Physical Therapy Assistant · Lexington, VA
NPI 1003570201 · NPPES record last updated Oct 28, 2021
Key facts
- NPI
- 1003570201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306605367 (VA)
- Practice address
- 170 Kendal Dr
Lexington, VA 24450-1786 - Phone
- (540) 463-1910
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306605367 | VA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306605367 | VA | Yes |
Addresses
Primary practice location
170 Kendal Dr
Lexington, VA 24450-1786
Mailing address
170 Kendal Dr
Lexington, VA 24450-1786
Other providers in Lexington, VA
- Blue Ridge Eye Associates PC
- Blue Ridge Footcare and Surgery PLC
- Blue Ridge Physical Therapy PC
- Janet Lynn Boller
- Utsav Brahmbhatt
- Tiffany Michelle Brooks
- Andrew Jacob Brown
- Kelsey Brown
- Matthew Earle Bryant
- Teresa Elaine Bsullak
All providers in Lexington, VA · Physical Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.