Kenneth J Breath, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P9882 Issued in NC

Practice address

354 Copperfield Blvd NE
Concord, NC 28025-2402

Phone

(704) 262-4181

NPI assigned

Nov 29, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Noble Partners Inc.Group PAC ID 0446639744, 4 clinicians

Aatm Physical LLCGroup PAC ID 8224402730, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94 of 100Reported as apm

Quality

81.63

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aatm Physical LLC

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1649995309
  Medicare reassignment Care Compare group NPD
• Noble Partners Inc.

  • Physical Therapy Clinic/Center
  • Mooresville, NC
  • NPI 1013661297

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthocarolina

  • Orthopaedic Surgery Physician
  • Charlotte, NC
  • NPI 1497704217

  Physical Therapist

  Medicare reassignment NPD
• Orthocarolina, PA

  • Orthopaedic Surgery Physician
  • Monroe, NC
  • NPI 1275550048

  Physical Therapist

  NPD
• Orthocarolina

  • Orthopaedic Surgery Physician
  • Indian Land, SC
  • NPI 1619641453

  Physical Therapist

  NPD
• The Pain & Rehab Institute, PA

  • Physical Medicine & Rehabilitation Physician
  • Mooresville, NC
  • NPI 1972673077
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1669455200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "SUITE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093239",
            "telephone_number": "704-323-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 COPPERFIELD BLVD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252402",
            "telephone_number": "704-262-4181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Copperfield Blvd NE",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252402",
            "country_code": "US",
            "telephone_number": "704-262-4181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREATH",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P9882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669455200",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Kyle Branham, M.D.
• Sarah Burnham Brant
• McKaela A Braswell
• Mark E. Braun, MD
• Jessica Marilyn Bravo, LCSWA
• Paige Channing Breece, LCSW, LISW-CP, LCAS
• Katrina Lynn Brennan, LMBT MMP
• Jaedyn J Brewer
• Kiddy Pierre Brewer, FNP-C
• Scott Alexander Brewster, PHARMD

• Physical Therapist in Concord, NC
• Providers in Concord, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.

Verify at the official NPI Registry.