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

Charles Jackson Breedlove, PTA

Individual provider Physical Therapy Assistant · NPI 1427620814

Charles Jackson Breedlove, PTA is a Physical Therapy Assistant in Knoxville, Tennessee. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

10133 Sherrill Blvd Ste 200
Knoxville, TN 37932-3347
Phone: (888) 531-2204
Fax: (855) 232-8604
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA004344 (GA)

Record details

NPI number1427620814
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 14, 2021
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021

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