Brian K. Brunckhorst

Physical Therapist · Paramus, NJ

Individual Active NPI

NPI number 1235234972

Practice location

1 W Ridgewood Ave
Suite 104
Paramus, NJ 07652-2359
Phone
(201) 652-1415
Fax
(201) 652-0391

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NPI record

NPI
1235234972
Entity type
Individual (Type 1)
Enumeration date
September 14, 2006
Last updated
November 29, 2022
Certified
November 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT030388 PA
Physical Therapist 225100000X 40QA01149200 NJ

Mailing address

225 Inverness Cir
Chalfont, PA 18914-3919
Phone
(201) 456-8534

About Brian Brunckhorst

Brian K. Brunckhorst is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 1 W Ridgewood Ave, Suite 104, Paramus, NJ 07652-2359. The NPI number 1235234972 was assigned on September 14, 2006 and the record was last updated on November 29, 2022.

Brian Brunckhorst lists 2 licenses in the registry: #PT030388 (PA) for Physical Therapist; #40QA01149200 (NJ) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian K. Brunckhorst?

The NPI number is 1235234972.

What is the phone number of Brian Brunckhorst?

The phone number listed for the practice location is (201) 652-1415.

Where is Brian Brunckhorst located?

1 W Ridgewood Ave, Suite 104, Paramus, NJ 07652-2359.

What is the taxonomy code for Brian Brunckhorst?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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