Active NPIIndividual provider

Molly Brucker, PT, DPT

Physical Therapist in Newton, New Jersey

NPI Number1699292961
Practice location
80 Mill St Ste 1, Newton, NJ 07860-1411
Fax
973-940-7342
Last updated
February 7, 2024

Molly Brucker is a Physical Therapist based in Newton, NJ. Molly Brucker practices in Newton, NJ and has the professional credentials of PT, DPT. The NPI Number for Molly Brucker is 1699292961 and holds a License No. PT6280 (MS). The current practice location address for Molly Brucker is 80 Mill St Ste 1, Newton, NJ 07860-1411 and can be reached out via phone at 973-940-7311 and via fax at 973-940-7342.

Provider Profile Details

NPI Number
1699292961
Provider Name
Molly Brucker
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
80 Mill St Ste 1, Newton, NJ 07860-1411
Phone Number
973-940-7311
Fax Number
973-940-7342
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Molly Cornelissen, DPT (Former Name)
Provider Enumeration Date
August 27, 2017
Last Update Date
February 7, 2024
Certification Date
February 7, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Mill St Ste 1
Newton, NJ 07860-1411
City
Newton
Zip
07860-1411
Phone Number
973-940-7311
Fax Number
973-940-7342
Newton, NJ 07860Get directions →

Provider Business Mailing Address Details

Address
Po Box 416495
Boston, MA 02241-6495
City
Boston
State
MA
Zip
02241-6495
Phone Number
631-580-5200
Fax Number
631-580-5222

License Information

License Number (1)
PT6280
License State (1)
MS
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA01740300
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Molly Brucker, PT, DPT?

The NPI number of Molly Brucker, PT, DPT is 1699292961. It was assigned on August 27, 2017 and is currently active in the NPPES registry.

What is the specialty of Molly Brucker, PT, DPT?

Molly Brucker, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MS under license number PT6280.

Where does Molly Brucker, PT, DPT practice?

The practice location is 80 Mill St Ste 1, Newton, NJ 07860-1411. The office can be reached at 973-940-7311 (phone) or 973-940-7342 (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 1699292961 directly on the NPPES registry website.

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