Active NPI
Christopher Breaux, PT, DPT
- Physical Therapist
- Middletown, DE
National Provider Identifier
1144680588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0003435
- Practice address
- 68 Franklin Dr
Middletown, DE 19709-1730 - Phone
- (337) 842-1962
- NPI assigned
- Feb 27, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0003435 | DE | Primary |
| Physical Therapist | 225100000X | 25212 | MD | |
| Physical Therapist | 225100000X | PT023610 | PA |
Addresses
Primary practice location
68 Franklin Dr
Middletown, DE 19709-1730
Mailing address
68 Franklin Dr
Middletown, DE 19709-1730
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J1-0003435 | Other | DE | DELAWARE PHYSICAL THERAPY LICENSE |
| 25212 | Other | MD | MARYLAND PHYSICAL THERAPY LICENSE |
| PT023610 | Other | PA | PENNSYLVANIA PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25212 | MD | MD | Pharmacist |
| J1-0003435 | DE | MD | Physical Therapist |
| PT023610 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456531200000",
"number": "1144680588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 FRANKLIN DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197091730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 FRANKLIN DR",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197091730",
"telephone_number": "337-842-1962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREAUX",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-27",
"last_updated": "2016-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003435",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25212",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT023610",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE PHYSICAL THERAPY LICENSE",
"identifier": "J1-0003435",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND PHYSICAL THERAPY LICENSE",
"identifier": "25212",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA PHYSICAL THERAPY LICENSE",
"identifier": "PT023610",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.