JONATHAN LEIGH BREEDEN


Address: 148 Ridge Terrace Ln, Lexington, SC 29073-6878
Phone: 8039600768

JONATHAN LEIGH BREEDEN (NPI# 1962884452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962884452
Entity Type Individual
Full Name JONATHAN LEIGH BREEDEN
Credential PT, DPT, OCS
Practice Address 148 Ridge Terrace Ln
Lexington
SC 29073-6878
Practice Telephone 8039600768
Mailing Telephone 8039600768
Enumeration Date 2015-06-22
Last Update Date 2015-06-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
6992 SC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 148 RIDGE TERRACE LN
City LEXINGTON
State SC
Zip Code 29073-6878

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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1003421298 Whitney Jo Ressett Physical Therapist 216 Fountain Ct Ste 201, Lexington, KY 40509-2730 2020-09-14
1013515212 Lexington Health Inc Physical Therapist 811 W Main St Ste 205, Lexington, SC 29072-2500 2020-10-12
1104346519 Lindsay Sutera Physical Therapist 337 W Church St, Lexington, TN 38351-2096 2017-06-27
1619416559 Henry Dulin White II Physical Therapist 110 Conn Ter, Lexington, KY 40508-3206 2017-02-13
1982065579 Jennifer Gwen Evans Physical Therapist 1900 Richmond Road, Lexington, KY 40502-1204 2016-03-10
1699130583 Shelley W. Ryan Physical Therapist 1900 Richmond Rd, Lexington, KY 40502-1204 2015-12-21
1144685033 Tia Michelle Roush Caldwell Physical Therapist 1900 Richmond Rd, Lexington, KY 40502-1204 2015-12-21
1104298082 Timothy Keith Cupp Physical Therapist 1900 Richmond Rd, Lexington, KY 40502-1204 2015-10-30
1891055059 Kristofer M Kendrick Physical Therapist 4101 Tates Creek Centre Dr Ste 144, Lexington, KY 40517-3068 2012-05-22
1689984072 Raquel Leilani Nazario Physical Therapist 1101 Veterans Dr, Lexington, KY 40502-2235 2010-10-19
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Competitor

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City LEXINGTON
Zip Code 29073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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