Active NPI
Terry L. Breitung, O.T.
- Specialist
- Mobile, AL
National Provider Identifier
1063466290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0414
- Practice address
- 316 S Sage Ave
Ste. B
Mobile, AL 36606-3616 - Phone
- (251) 470-7772
- Fax
- (251) 470-7773
- NPI assigned
- May 20, 2006
- Last updated
- Jul 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0414 | AL | Primary |
Addresses
Primary practice location
316 S Sage Ave
Ste. B
Mobile, AL 36606-3616
Mailing address
316 S Sage Ave
Ste. B
Mobile, AL 36606-3616
Phone (251) 470-7772
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51079428 | Other | AL | BCBS |
| L172 | Other | AL | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
316 S Sage Ave
Suite B
Mobile, AL 36606-3616
Phone (251) 470-7772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Spine and Rehab Inc | Past | Accepting new patients | |
| Azalea City Physical Therapy | Specialist | Past | Accepting new patients |
| Total Spine Surgical Center LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1063466290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 S SAGE AVE",
"address_2": "STE. B",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063616",
"telephone_number": "251-470-7772",
"fax_number": "251-470-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 S SAGE AVE",
"address_2": "STE. B",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063616",
"telephone_number": "251-470-7772",
"fax_number": "251-470-7773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREITUNG",
"first_name": "TERRY",
"middle_name": "L.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AL",
"license": "0414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51079428",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "L172",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.