Andrea M Breazeale
Individual provider Active NPI Physical Therapy Assistant · North Augusta, SC
NPI 1659943496 · NPPES record last updated Jul 12, 2021
Key facts
- NPI
- 1659943496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 4452 (SC)
- Practice address
- 350 Austin Graybill Rd
North Augusta, SC 29860-9251 - Phone
- (803) 278-4272
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4452 | SC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4452 | SC | Yes |
Addresses
Primary practice location
350 Austin Graybill Rd
North Augusta, SC 29860-9251
Mailing address
4 Indian Rock CT
North Augusta, SC 29841-5214
Phone (803) 215-1922
Other providers in North Augusta, SC
- Whitney Monique Boston
- Cindy Jean Boudreaux
- Rene Boylston
- Brantley Chiropractic, PC
- Abigail Brantley
- Joy Elizabeth Britt
- Shannon E Brockwell
- Jeffrey N Broder
- Brookdale Senior Living Communities, Inc
- Frances Elaine Brooks
All providers in North Augusta, SC · Physical Therapy Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.