Active NPI
Chelsea Breen, DPT
- Physical Therapist
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7471
- Practice address
- 1900 Sunset Blvd
West Columbia, SC 29169-5959 - Phone
- (803) 926-7204
- Fax
- (803) 926-7206
- NPI assigned
- Jul 28, 2015
- Last updated
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7471 | SC | Primary |
Addresses
Primary practice location
1900 Sunset Blvd
West Columbia, SC 29169-5959
Mailing address
1311 Augusta Rd
West Columbia, SC 29169-6320
Phone (803) 926-7204
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
- Medical University of South Carolina College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311 Augusta Rd
West Columbia, SC 29169-6320
Phone (803) 926-7204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7471 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Sigurd Center for Ortho & Neuro Rehab | Physical Therapist | Current | Accepting new patients |
| Medsource Inc. | Past | Accepting new patients | |
| Key Changes Therapy Services, Inc | Physical Therapist | Past | Accepting new patients |
Locations
1311 Augusta Rd
West Columbia, SC 29169
Phone (803) 926-2919
1900 Sunset Blvd
West Columbia, SC 29169
Phone (803) 250-6833
Organizations & group practices 3
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.
-
- Physical Therapist
- West Columbia, SC
- NPI 1376658542
-
- Speech-Language Pathologist
- West Columbia, SC
- NPI 1669719530
Physical Therapist
-
dba Medsource
- Durable Medical Equipment & Medical Supplies
- West Columbia, SC
- NPI 1538158902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1447635768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 AUGUSTA RD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291696320",
"telephone_number": "803-926-7204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SUNSET BLVD",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291695959",
"telephone_number": "803-926-7204",
"fax_number": "803-926-7206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEN",
"first_name": "CHELSEA",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-28",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
- Brantley W. Cope, DMD Dentistry, PA (West Columbia Dental Center)
- Ian Michael Brastauskas
- Bethany C Bray, M.D.
- Kennah Johnson Brearley, PA-C
- William D. Brearley Jr., MD
- Michelle Kaitlin Breen, CNP
- William P Brehmer, M.D.
- Benjamin Breitbach, PHARMD
- Dianne Landis Bretz, FNP-BC
- Marie Wallis Bridges, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.