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

Dr. Breonna S Tucker, PT, DPT

Individual provider Physical Therapist · NPI 1134990815

Dr. Breonna S Tucker, PT, DPT is a Physical Therapist in Private Practice in Waldorf, Maryland. Qualified in 2020, 6 years ago. Practices with Ati Holdings, LLC, a 439-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
6
Licensed in
MD
In the registry since
2024
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

3018 Festival Way # 323
Waldorf, MD 20601-2958
Phone: (240) 754-5520
Fax: (301) 705-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3018 Festival Way Unit 323, Waldorf, MD 20601-2958 — (240) 754-5520

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 29797 (MD)

Record details

NPI number1134990815
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 11, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Waldorf