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

Individual provider Physical Therapist · NPI 1457034811

Dr. Breland Green, PT, DPT is a Physical Therapist in Private Practice in Summerville, South Carolina. Qualified in 2023, 3 years ago. Practices with Imagine Physical Therapy in West Ashley LLC, a 3-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

634 Bacons Bridge Rd
Summerville, SC 29485-4102
Phone: (843) 821-2272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11995 (SC)

Record details

NPI number1457034811
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Imagine Physical Therapy In West Ashley Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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