Breakaway Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BREAKAWAY PHYSICAL THERAPY LLC

Doing business as

Breakaway Performance Therapy and Strength Club

Practice address

102 Hollidaysburg PLZ
Duncansville, PA 16635-8410

Phone

(570) 259-9544

NPI assigned

May 14, 2021

Last updated

Apr 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin Meiser, DPTNPI 1568941755

Title

Owner/Physical Therapist

Phone

(570) 259-9544

Specialties & licenses 1

Addresses

Other names 1

• Breakaway Performance Therapy and Strength Club Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin Meiser, PT, DPT

  • Physical Therapist
  • Duncansville, PA
  • NPI 1568941755
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1073187043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 CARL RD",
            "city": "DYSART",
            "state": "PA",
            "postal_code": "166368112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HOLLIDAYSBURG PLZ",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358410",
            "telephone_number": "570-259-9544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 Glimcher Dr",
            "address_purpose": "LOCATION",
            "city": "Duncansville",
            "state": "PA",
            "postal_code": "166359415",
            "country_code": "US",
            "telephone_number": "570-259-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREAKAWAY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "MEISER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "570-259-9544",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breakaway Performance Therapy and Strength Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blair Regenerative Medicine LLC
• Katlin Rachelle Bodenschatz, MS-CCC SLP
• Angela Braatz, PA-C
• Abbigale M Bradley, BA
• Scott A Brandenberger, PA-C
• Thomas R Brouse III, D.C.
• Melissa Jo Brown, LPN
• Michelle Rena Brown, RN
• Burwell Family Medicine, PC
• Danial Burwell

• Physical Therapy Clinic/Center in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.