Beth R Breland, DPT

Key facts

NPI

1811242589

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT5132 (MS)

Practice address

15476 Dedeaux Rd Ste a
Gulfport, MS 39503-2637

Phone

(228) 215-0700

NPI assigned

Jul 19, 2012

Sex

Female

Sole proprietor

No

Organizations & group practices 18

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.

• Bienville Therapy, LLC Physical Therapist · Vancleave, MS · NPI 1720844392
  Medicare reassignment Care Compare group NPD MS · PHYSICAL THERAPIST
• Encore Rehabilitation, Inc. Physical Therapy Clinic/Center · Decatur, AL · NPI 1033218524
  Medicare reassignment NPD MS · PHYSICAL THERAPIST
• Bienville Therapy, LLC Physical Therapist · Gulfport, MS · NPI 1477319051
  Care Compare group NPD PHYSICAL THERAPIST
• Encore Rehabilitation, Inc. Occupational Medicine Clinic/Center · Gulfport, MS · NPI 1437962313
  NPD PHYSICAL THERAPIST
• Encore Rehabiliation Inc Physical Therapy Clinic/Center · Gulfport, MS · NPI 1407981475
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Biloxi, MS · NPI 1043346976
  NPD (past)
• Encore Rehabilitation Inc Physical Therapist · Columbus, MS · NPI 1063716397
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Perkinston, MS · NPI 1083853816
  NPD (past)
• Encore Rehabilitation Inc Physical Therapist · Starkville, MS · NPI 1174867253
  NPD (past) PHYSICAL THERAPIST
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Lucedale, MS · NPI 1205962537
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Gulfport, MS · NPI 1265567226
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Poplarville, MS · NPI 1356478515
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Hattiesburg, MS · NPI 1417251414
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Gulfport, MS · NPI 1437401593
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Columbia, MS · NPI 1508991514
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Petal, MS · NPI 1548396807
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Leakesville, MS · NPI 1861527186
  NPD (past)
• Encore Rehabilitation Inc Physical Therapy Clinic/Center · Laurel, MS · NPI 1942335922
  NPD (past)

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bienville Therapy, LLC (24 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Beth Rogers Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 22, 2025.

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1811242589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD STE 301",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656771",
            "telephone_number": "228-230-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15476 DEDEAUX RD STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032637",
            "telephone_number": "228-215-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 W North St",
            "address_purpose": "LOCATION",
            "city": "Poplarville",
            "state": "MS",
            "postal_code": "394702203",
            "country_code": "US",
            "telephone_number": "601-795-2130",
            "fax_number": "601-795-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRELAND",
        "first_name": "BETH",
        "middle_name": "R",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015077",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1033218524",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "ROGERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulfport, MS

• David Ray Branch, IDC
• Clay Bratton, M.D.
• Lindsey Bray, NP
• Mundy Scott Breazeale Sr.
• Jennifer S Brechtel, PMHNP-BC
• Deirdre Lee Breland, NP
• Julianna Marie Breland
• Bhavati Brennan, CPSS
• Lindsey Brennan, RN, BSN, CCM
• Mary Virginia Brennan, BS

All providers in Gulfport, MS · Physical Therapist in Mississippi