Graham Breitenstein

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

1001 Van Buren Ave Ste 3
Indian Trail, NC 28079-5541

Phone

(704) 628-6053

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1326770439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 VAN BUREN AVE STE 3",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795541",
            "telephone_number": "704-628-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VAN BUREN AVE STE 3",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280795541",
            "telephone_number": "704-628-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITENSTEIN",
        "first_name": "GRAHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelli Boucher, D.M.D.
• Robbin Artavia Boulware
• Decora Lachelle Bowers, EDD, LCMHC
• Jonathan Austin Bowman, DMD
• Kristina Quick Braun, PT
• Bright View Counseling PLLC
• Britthaven, Inc. (Lake Park Nursing & Rehab Center)
• Ashley Marie Brown, LCMHCA, NCC
• Lisa Brown, LMHC, BCC, RDT
• Sharon Tracy Browning, MD

• Orthopedic Physical Therapist in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.