Brooke Breeden

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605367 Issued in VA

Practice address

170 Kendal Dr
Lexington, VA 24450-1786

Phone

(540) 463-1910

NPI assigned

Oct 25, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1003570201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 KENDAL DR",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244501786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KENDAL DR",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244501786",
            "telephone_number": "540-463-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "BROOKE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Eye Associates PC
• Blue Ridge Footcare and Surgery PLC
• Blue Ridge Physical Therapy PC
• Janet Lynn Boller, PSY.D.
• Utsav Brahmbhatt, PT, DPT
• Patricia McCarthy Broderick, PHD, LPC
• Tiffany Michelle Brooks, PHARMD
• Andrew Jacob Brown, MD
• Kelsey Brown, RD
• Matthew Earle Bryant, M.D.

• Physical Therapy Assistant in Lexington, VA
• Providers in Lexington, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.