Individual provider Active NPI

Jonathan Leigh Breeden, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Columbia, SC
National Provider Identifier
1962884452
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
6992 Issued in SC
Practice address
7033 Saint Andrews Rd Ste 203
Columbia, SC 29212-1181
Phone
(803) 791-2713
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 6992 SC Primary

Addresses

Primary practice location

7033 Saint Andrews Rd Ste 203
Columbia, SC 29212-1181

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 791-2203

Other practice location 1

148 Ridge Terrace Ln
Lexington, SC 29073-6878
Phone (803) 960-0768

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbreeden169873@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218000503 SC Practitioner - Physical Therapist in Private Practice 9739538653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

7033 Saint Andrews Rd
Suite 203
Columbia, SC 29212-1181
Phone (803) 749-6759

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Dec 1, 2023 Accepting new patients
Lexington Health Inc CurrentSince Dec 1, 2023 Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

3016 Longtown Commons Dr
Ste 105
Columbia, SC 29229
Phone (803) 314-0529

3016 Longtown Commons Dr
Ste 200A
Columbia, SC 29229

3016 Longtown Commons Dr
Ste 200
Columbia, SC 29229
Phone (803) 314-9640

7033 Saint Andrews Rd
Ste 203
Columbia, SC 29212
Phone (803) 732-5388

811 W Main St
Lexington, SC 29072

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

132 Sunset Ct
West Columbia, SC 29169
Phone (803) 794-3700

Interoperability endpoints

  • Direct secure messaging: jbreeden169873@direct.lexmed.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1962884452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-791-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 SAINT ANDREWS RD STE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121181",
            "telephone_number": "803-791-2713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Ridge Terrace Ln",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290736878",
            "country_code": "US",
            "telephone_number": "803-960-0768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEDEN",
        "first_name": "JONATHAN",
        "middle_name": "LEIGH",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "6992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbreeden169873@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "7033 Saint Andrews Rd Ste 203",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292121181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.

Verify at the official NPI Registry.