Kira Breen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40918 Issued in FL

Practice address

4575 US Highway 17
Fleming Island, FL 32003-4825

Phone

(904) 637-0148

NPI assigned

Jun 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1740025345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 WEXFORD CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 US HIGHWAY 17",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034825",
            "telephone_number": "904-637-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "KIRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT40918",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Paul Braden, HAS-BC
• Jennifer Michelle Branscome, PHD
• Mia J Braunstein
• Antonio Brazle
• Zaria Presha Brazle, RBT
• Morgan Elizabeth Brett, PA-C
• Robert Lance Bridges, D.C.
• Hannah Gladys Le Bright
• Brightview Homecare Services LLC
• Melissa Brinkley, APRN

• Physical Therapist in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.