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

Mr. Larry Wayne Breeden

Individual provider Physical Therapy Assistant · NPI 1508022989

Mr. Larry Wayne Breeden is a Physical Therapy Assistant in Tampa, Florida. Licensed in Florida and Texas. Registered with an NPI since 2008.

Licensed in
FL, TX
In the registry since
2008
Specialties on file
2

Practice location Address checks out

2 Columbia Dr
Tampa, FL 33606-3508
Phone: (813) 844-7707
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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 PTA 18170 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence 2065620 (TX)

Record details

NPI number1508022989
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2008
Last updated in NPPESAugust 5, 2008
Mailing address2 Columbia Dr, Tampa, FL 33606-3508

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