Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breakaway Physical Therapy, LLC

Organization Physical Therapist · NPI 1780077784

Breakaway Physical Therapy, LLC is a Physical Therapist in Crofton, Maryland. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2138 Priest Bridge Ct Ste 7
Crofton, MD 21114-2463
Phone: (410) 721-6333
Fax: (410) 721-7651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1780077784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaina Clemons — Owner · (410) 721-6333
NPI enumeratedMarch 15, 2015
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing addressPo Box 4704, Crofton, MD 21114-4704

Other providers in Crofton