Vance Edward Breeden, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

5321 Beverly Park Cir
Knoxville, TN 37918-9253

Phone

(865) 687-1321

NPI assigned

Jul 20, 2023

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)

Not enrolled

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1356021794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 FANTASIA RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379188011",
            "telephone_number": "865-789-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 BEVERLY PARK CIR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379189253",
            "telephone_number": "865-687-1321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Middlebrook Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091152",
            "country_code": "US",
            "telephone_number": "865-588-7661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "VANCE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Mayhew Breazeale
• Earl Edward Breazeale Jr., MD
• Megan Nicole Breckenkamp, PA-C
• Brandalyn Fontenot Breeden, AU.D.
• Kimberly Breeden
• Janet D Breeding, PA-C
• Philip J Breeding, DDS
• Charles Jackson Breedlove, PTA
• Marci Michelle Breedlove, PH.D.
• Breeze Wellness TN

• Physical Therapy Assistant in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.