Breakaway Physical Therapy, LLC
Breakaway Physical Therapy, LLC is a healthcare organization registered as Physical Therapist in Crofton, MD, holding Type 2 (organization) NPI 1780077784 since 2015. The authorized official on file is Shaina Clemons, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780077784 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Breakaway Physical Therapy, LLC |
| Practice address | 2138 PRIEST BRIDGE CT STE 7, Crofton, MD, 21114 |
| Phone | 4107216333 |
| Fax | 4107217651 |
| Enumeration date | 2015-03-15 |
| Last updated in NPPES | 2020-10-26 |
Authorized official
| Name | Shaina Clemons |
|---|---|
| Title | Owner |
| Phone | 4107216333 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | — | — |
Copy-ready billing details
Provider: Breakaway Physical Therapy, LLC NPI: 1780077784 Taxonomy: 225100000X (Physical Therapist) Address: 2138 PRIEST BRIDGE CT STE 7, Crofton, MD, 21114
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043954274 | Robin Buxton | Individual | Physical Therapist | Crofton, MD |
| 1962236620 | Emma Stock | Individual | Physical Therapist | Crofton, MD |
| 1316772494 | Jessica Sposato | Individual | Physical Therapist | Crofton, MD |
Verify this record
Cross-check NPI 1780077784 against the authoritative CMS record: view Breakaway Physical Therapy, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Breakaway Physical Therapy, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-26.