Breanna Latisha Grant, DPT
NPI 1831963172ActiveIndividual· Physical Therapist· Jasper, TN
Physical Therapist (DPT) with Tidewater Physical Therapy LLC and 1 other group, practicing in Jasper, Tennessee. Medicare paid $22,594 for services to 66 patients in 2024.
Overview
| NPI | 1831963172 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Nov 7, 2023 |
| Last updated in NPPES | Nov 3, 2026 |
| Certified by provider | Nov 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | CP061919T | TN |
| Physical Therapist | 225100000X | CP052818T | VA |
| Physical Therapist | 225100000X | CP056126T | KY |
| Physical Therapist | 225100000X | CP043140T | TX |
| Physical Therapist | 225100000X | 12126 | SC |
| Physical Therapist | 225100000X | CP031396T | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (SC); Practitioner - Physical Therapist in Private Practice (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 66 |
|---|---|
| Services billed | 1,096 across 13 procedure codes |
| Paid by Medicare | $22,594 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Tidewater Physical Therapy LLCMidlothian, VA · 253 clinicians
- Drayer Physical Therapy-South Carolina ,LLCColumbia, SC · 45 clinicians
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