Individual provider Active NPI

Breanna Butcher

  • Physical Therapist
  • North Port, FL
National Provider Identifier
1144033911
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT45532 Issued in FL
Practice address
14899 Tamiami TRL
North Port, FL 34287-2732
Phone
(941) 234-9086
NPI assigned
Jan 27, 2025
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP042114T GA
Physical Therapist 225100000X P23773 NC
Physical Therapist 225100000X PT45532 FL Primary

Addresses

Primary practice location

14899 Tamiami TRL
North Port, FL 34287-2732

Mailing address

14899 Tamiami TRL
North Port, FL 34287-2732

Other practice location 1

20 Market St Ste 102
Saint Simons Island, GA 31522-1986
Phone (912) 634-5885

Other practice location 2

18881 W Dodge Rd Ste 300W
Elkhorn, NE 68022-4648
Phone (877) 230-3885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250327002052 GA Practitioner - Physical Therapist in Private Practice 3375066699 Reassigns benefits to 4 organizations
I20250613000644 NC Practitioner - Physical Therapist in Private Practice 3375066699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Rehabilitation IncGroup PAC ID 8628018843, 11 clinicians

Practice addresses (Care Compare)

20 Medical Campus Dr NW
Suite 204
Supply, NC 28462-4094
Phone (502) 609-4872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23773NCMDPhysical Therapist
CP043886TWVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Feb 10, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Feb 10, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Carolina Rehabilitation Inc Physical Medicine & Rehabilitation CurrentSince May 22, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Thomas Speech Therapy Services PLLC CurrentSince May 22, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437

20 Market St
Ste 102
St Simons Island, GA 31522
Phone (912) 634-5885

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

4501 Main St
Ste 5
Shallotte, NC 28470
Phone (910) 612-1002

20 Medical Campus Dr NW
Ste 204
Supply, NC 28462
Phone (910) 612-1002

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1144033911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14899 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14899 TAMIAMI TRL",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872732",
            "telephone_number": "941-234-9086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Market St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Saint Simons Island",
            "state": "GA",
            "postal_code": "315221986",
            "country_code": "US",
            "telephone_number": "912-634-5885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18881 W Dodge Rd Ste 300W",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680224648",
            "country_code": "US",
            "telephone_number": "877-230-3885",
            "fax_number": "402-924-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "BREANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP042114T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23773",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT45532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.

Verify at the official NPI Registry.