Breakaway Physical Therapy, LLC
NPI 1780077784 · Physical Therapist · Crofton, MD
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Breakaway Physical Therapy, LLC is a Physical Therapist organization in Crofton, MD (NPI 1780077784).
Provider details
- NPI number
- 1780077784
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Shaina Clemons, Owner(410) 721-6333
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-15
- Last updated
- 2020-10-26
- Certified
- 2020-10-26
Frequently asked questions
- What is Breakaway Physical Therapy, LLC's NPI number?
- Breakaway Physical Therapy, LLC's National Provider Identifier (NPI) is 1780077784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breakaway Physical Therapy, LLC?
- Breakaway Physical Therapy, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Breakaway Physical Therapy, LLC located?
- Breakaway Physical Therapy, LLC's practice location on file with NPPES is 2138 Priest Bridge Ct Ste 7, Crofton, MD 21114-2463.
- What is Breakaway Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Breakaway Physical Therapy, LLC is (410) 721-6333.
- Does Breakaway Physical Therapy, LLC accept Medicare?
- Breakaway Physical Therapy, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Breakaway Physical Therapy, LLC?
- The authorized official listed on Breakaway Physical Therapy, LLC's NPPES record is Shaina Clemons, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breakaway Physical Therapy, LLC's NPI active?
- Yes — Breakaway Physical Therapy, LLC's NPI (1780077784) is active in the NPPES registry as of the last update on 2020-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.