Brian K Brunckhorst
Physical Therapist in Paramus, New Jersey
1235234972- Practice location
- 1 W Ridgewood Ave, Suite 104, Paramus, NJ 07652-2359
- Phone
- 201-652-1415
- Fax
- 201-652-0391
- Last updated
- November 29, 2022
Brian K Brunckhorst is a Physical Therapist based in Paramus, NJ. Brian K Brunckhorst practices in Paramus, NJ. The NPI Number for Brian K Brunckhorst is 1235234972 and holds a License No. 40QA01149200 (NJ). The current practice location address for Brian K Brunckhorst is 1 W Ridgewood Ave, Suite 104, Paramus, NJ 07652-2359 and can be reached out via phone at 201-652-1415 and via fax at 201-652-0391.
Provider Profile Details
- NPI Number
- 1235234972
- Provider Name
- Brian K Brunckhorst
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 W Ridgewood Ave, Suite 104, Paramus, NJ 07652-2359
- Phone Number
- 201-652-1415
- Fax Number
- 201-652-0391
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 14, 2006
- Last Update Date
- November 29, 2022
- Certification Date
- November 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 W Ridgewood Ave
Suite 104
Paramus, NJ 07652-2359 - City
- Paramus
- State
- New Jersey
- Zip
- 07652-2359
- Phone Number
- 201-652-1415
- Fax Number
- 201-652-0391
Provider Business Mailing Address Details
- Address
- 225 Inverness Cir
Chalfont, PA 18914-3919 - City
- Chalfont
- State
- PA
- Zip
- 18914-3919
- Phone Number
- 201-456-8534
License Information
- License Number (1)
- 40QA01149200
- License State (1)
- NJ
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- PT030388
- License State (2)
- PA
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brian K Brunckhorst?
The NPI number of Brian K Brunckhorst is 1235234972. It was assigned on September 14, 2006 and is currently active in the NPPES registry.
What is the specialty of Brian K Brunckhorst?
Brian K Brunckhorst is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01149200.
Where does Brian K Brunckhorst practice?
The practice location is 1 W Ridgewood Ave, Suite 104, Paramus, NJ 07652-2359. The office can be reached at 201-652-1415 (phone) or 201-652-0391 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235234972 directly on the NPPES registry website.