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

Breanna Nichols, PTA

Individual provider Physical Therapy Assistant · NPI 1184295438

Breanna Nichols, PTA is a Physical Therapy Assistant in Kingsport, Tennessee. Licensed in Tennessee and Virginia. Registered with an NPI since 2021.

Licensed in
TN, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1 Sheridan Sq Ste 100
Kingsport, TN 37660-7392
Phone: (423) 230-0194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 7919 (TN)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2306604823 (VA)

Record details

NPI number1184295438
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 23, 2021
Certification dateJuly 23, 2021

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