Active NPI
Breanna Lee Thompson, DPT
- Physical Therapist
- Bluffton, SC
National Provider Identifier
1396589487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.12350
- Practice address
- 8201 Pinellas Dr
Bluffton, SC 29910-4133 - Phone
- (843) 705-9401
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017075 | GA | |
| Physical Therapist | 225100000X | PT.12350 | SC | Primary |
Addresses
Primary practice location
8201 Pinellas Dr
Bluffton, SC 29910-4133
Mailing address
8201 Pinellas Dr
Bluffton, SC 29910-4133
Phone (843) 705-9401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
8201 Pinellas Dr
Bluffton, SC 29910-4133
Phone (843) 705-9401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017075 | GA | MD | Physical Therapist |
| PT.12350 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optim Orthopedics, LLC | Current | Accepting new patients | |
| Optim Orthopedics, LLC | Past | Accepting new patients |
Locations
210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140
8201 Pinellas Dr
Bluffton, SC 29910
Phone (843) 705-9401
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Bluffton, SC
- NPI 1528451481
-
- Orthopaedic Surgery Physician
- Midway, GA
- NPI 1821639758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1396589487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 PINELLAS DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104133",
"telephone_number": "843-705-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 PINELLAS DR",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299104133",
"telephone_number": "843-705-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BREANNA",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017075",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT.12350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bluffton, SC
- The Neurological Institute of Savannah & Center for Spine P C
- The Weston Group of South Carolina Inc
- Brenda Michelle Theilen, ANP
- Brittany Lauren Thomas, DPT
- Morgan Haley Thomas
- Jennifer Marie Thompson, BCBA, COBA, LBA
- Shawna Marie Thompson, MSN, APRN, WHNP-BC
- Thad Tyler Thompson, COTA
- Suzanna Thrash
- Thrive Holistic Wellness Counseling, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.