Active NPI
Jeremy B Breden, PT
- Physical Therapist
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19718
- Practice address
- 1406B Crain Hwy S
Suite 107
Glen Burnie, MD 21061-4099 - Phone
- (410) 590-2334
- Fax
- (410) 590-2336
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 26, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 19718 | MD | Primary |
Addresses
Primary practice location
1406B Crain Hwy S
Suite 107
Glen Burnie, MD 21061-4099
Mailing address
1377 Motor Pkwy
Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 Paragon Way
Suite 250
Freehold, NJ 07728-9578
Phone (732) 431-2883
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Current | Accepting new patients | |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network Inc | Physical Therapist | Current | Accepting new patients |
| Atlantic Physical Therapy Center | Past | Accepting new patients | |
| Seashore Pediatric Therapy Center PC | Past | Accepting new patients | |
| Esterson Physical Therapy PA | Physical Therapist | Past | Accepting new patients |
| Esterson and Associates, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780
3 Paragon Way
Ste 250
Freehold, NJ 07728
Phone (732) 431-2883
285 Gordons Corner Rd
Ste 2
Manalapan, NJ 07726
Phone (848) 884-3400
1037 Route 70
Manchester, NJ 08759
Phone (732) 408-1800
1500 Meeting House Rd
Sea Girt, NJ 08750
Phone (732) 722-8787
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Organizations & group practices 9
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.
-
- Orthopedic Physical Therapist
- Toms River, NJ
- NPI 1801857917
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Hand Occupational Therapist
- Oakhurst, NJ
- NPI 1659945228
-
- Physical Therapist
- Hoboken, NJ
- NPI 1861623753
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Physical Therapy Clinic/Center
- Baltimore, MD
- NPI 1730699018
Physical Therapist
-
- Physical Therapist
- Baltimore, MD
- NPI 1629030416
-
- Hand Occupational Therapist
- Jackson, NJ
- NPI 1043884612
-
- Multi-Specialty Clinic/Center
- Manahawkin, NJ
- NPI 1396277083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1700918943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY",
"address_2": "STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "631-580-5200",
"fax_number": "631-580-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406B CRAIN HWY S",
"address_2": "SUITE 107",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614099",
"telephone_number": "410-590-2334",
"fax_number": "410-590-2336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREDEN",
"first_name": "JEREMY",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.