Breanna Camille Taylor, LPTA
Individual provider Active NPI Physical Therapy Assistant · Virginia Beach, VA
NPI 1891444832 · NPPES record last updated Jul 12, 2022
Key facts
- NPI
- 1891444832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2306605688 (VA)
- Practice address
- 984B Laskin Rd
Virginia Beach, VA 23451-3905 - Phone
- (757) 395-6900
- NPI assigned
- Mar 18, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306605688 | VA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Princess Anne Hospital | Current |
Accepting new patients |
Locations
2033 Fisher Arc
Ste 120
Virginia Beach, VA 23456
Phone (757) 395-8485
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306605688 | VA | Yes |
Addresses
Primary practice location
984B Laskin Rd
Virginia Beach, VA 23451-3905
Mailing address
984B Laskin Rd
Virginia Beach, VA 23451-3905
Phone (757) 395-6900
Other practice location 1
2033 Fisher Arch
Suite 120
Virginia Beach, VA 23456
Phone (757) 395-8485
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bcboyd@sentara.com | Direct |
Other providers in Virginia Beach, VA
- Charlyn Taylor-Toupin
- Alaina Taylor
- Amy Taylor
- Beth D Taylor
- Bradley R Taylor Sr.
- Charlize Taylor
- Crystal E Taylor
- Danielle Renea Taylor
- Erika Taylor
- Hannah Layne Taylor
All providers in Virginia Beach, VA · Physical Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.