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).
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 |
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 |
Street Address |
148 RIDGE TERRACE LN |
City | LEXINGTON |
State | SC |
Zip Code | 29073-6878 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710464953 | Alexandra Maria Schutz | Dentist | 5443 Platt Springs Rd, Lexington, SC 29073 | 2018-07-20 |
1649769704 | Alecia Kristy Mckellar | Nurse Practitioner | 132 Mclee Road, Lexington, SC 29073 | 2018-05-04 |
1457712143 | Bela Family Dentistry of White Knoll | Dentist | 1915 Southlake Dr., Lexington, SC 29073 | 2016-03-09 |
1326431404 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 4458 Augusta Road Suite 1b, Lexington, SC 29073 | 2015-03-12 |
1821419102 | Megan Gadson | Counselor | 1068 South Lake Dr., Lexington, SC 29073 | 2014-01-03 |
1780937789 | Craig Elliott Pfeifer | Specialist/Technologist | 755 Colina Ct, Lexington, SC 29073 | 2012-10-16 |
1376893875 | Mary Glenn | Pharmacist | 1071 S. Lake Dr., Lexington, SC 29073 | 2012-09-12 |
1831471119 | Adam Dutton Redmond | Military Health Care Provider | 4346 Augusta Road, Lexington, CA 29073 | 2011-09-13 |
1033341433 | White Knoll Dentistry, LLC | Clinic/Center | 5545 Platt Springs Rd, Lexington, SC 29073 | 2009-08-18 |
1073748687 | Jacqueline Abrams | Behavioral Analyst | 460 Pin Oak Dr, Lexington, SC 29073 | 2009-05-27 |
Find all providers in zip 29073 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in LEXINGTON |
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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.