# BREAK FREE WITH PHYSICAL THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073102315
- **Authorized official:** DR. GRETCHEN RAE BROOKER DPT (DOCTOR OF PHYSICAL THERAPY)
- **Authorized official phone:** (843) 478-9778

## Contact information

- **Practice address:** 1715 HOLLYDALE CT UNIT C, JOHNS ISLAND, SC 29455-8319
- **Practice address phone:** (843) 478-9778
- **Mailing address:** 1944 EVERETT ST, JOHNS ISLAND, SC 29455-8117
- **Mailing address phone:** (843) 478-9778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 01/12/2021
- **Last updated:** 03/22/2024