Individual provider Active NPI

Kiersten Breisch, PT, DPT

  • Physical Therapist
  • Hilton Head Island, SC
National Provider Identifier
1720845258
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29833 Issued in MD
Practice address
24 Bethea Dr
Hilton Head Island, SC 29926-4702
Phone
(843) 682-7301
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29833 MD Primary

Addresses

Primary practice location

24 Bethea Dr
Hilton Head Island, SC 29926-4702

Mailing address

15 Charles Cross Way Unit 6206
Bluffton, SC 29910-9394
Phone (301) 524-7498

Other practice location 1

1010 Medical Center Dr Ste 110
Hardeeville, SC 29927-3448
Phone (843) 784-8197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29833MDMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1720845258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHARLES CROSS WAY UNIT 6206",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109394",
            "telephone_number": "301-524-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BETHEA DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264702",
            "telephone_number": "843-682-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Medical Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hardeeville",
            "state": "SC",
            "postal_code": "299273448",
            "country_code": "US",
            "telephone_number": "843-784-8197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREISCH",
        "first_name": "KIERSTEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.