Candice Rhea Breeden, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0000003613 Issued in TN

Practice address

5146 Stage Rd
Suite 102
Memphis, TN 38134-3164

Phone

(901) 380-2727

Fax

(901) 380-2722

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1609943216
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467529032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 STAGE RD",
            "address_2": "SUITE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343164",
            "telephone_number": "901-380-2727",
            "fax_number": "901-380-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5146 STAGE RD",
            "address_2": "SUITE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381343164",
            "telephone_number": "901-380-2727",
            "fax_number": "901-380-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "CANDICE",
        "middle_name": "RHEA",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA0000003613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "183838",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Elizabeth Bray
• Garry Wayne Bray, CRNA
• Sandra Brazzell, LMSW
• Breathe America Medical Group LLC
• Dan B Breckenridge, CRNA
• Matthew Breit, D.D.S.
• Anna Victoria Breland, DO
• Brenda Richardson Memorial Acre Homes
• Amanda Brenner
• Zachary Brent, PHARM.D.

• Physical Therapy Assistant in Memphis, TN
• Providers in Memphis, 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 8, 2007; 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.