BREAKAWAY PHYSICAL THERAPY, LLC
NPI 1780077784
Physical Therapist in Crofton, MD
About Breakaway Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREAKAWAY PHYSICAL THERAPY, LLC (NPI 1780077784) is a healthcare organization registered as a physical therapist in Crofton, Maryland and active in the NPI registry since March 2015. The organization lists Shaina Clemons, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Breakaway Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Breakaway Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Breakaway Physical Therapy, LLC's NPI number?
The NPI number for Breakaway Physical Therapy, LLC is 1780077784. It was assigned to this organization in the NPPES registry on March 15, 2015.
Where is Breakaway Physical Therapy, LLC located?
Breakaway Physical Therapy, LLC is located at 2138 Priest Bridge Ct Ste 7, Crofton, MD 21114. The listed phone number is (410) 721-6333.
What is Breakaway Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Breakaway Physical Therapy, LLC enrolled in Medicare?
Yes. Breakaway Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Breakaway Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Breakaway Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Breakaway Physical Therapy, LLC was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.