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

Kevin Lee Breckenridge, PTA

Individual provider Physical Therapy Assistant · NPI 1457658213

Kevin Lee Breckenridge, PTA is a Physical Therapy Assistant in West Memphis, Arkansas. Licensed in Arkansas. Registered with an NPI since 2011.

Licensed in
AR
In the registry since
2011
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

620 Thompson Ave
West Memphis, AR 72301-3257
Phone: (870) 702-4911
Fax: (870) 702-6386
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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 2260 (AR)

Record details

NPI number1457658213
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 14, 2011
Last updated in NPPESFebruary 14, 2011

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