Organization Active NPI

Brunello Physical Therapy LLC

  • Physical Therapist
  • Weatherford, TX
National Provider Identifier
1023878089
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BRUNELLO PHYSICAL THERAPY LLC
Practice address
2017 Dolly Dr
Weatherford, TX 76088-7055
Phone
(682) 862-8574
NPI assigned
Mar 19, 2024
Last updated
Mar 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gino Brunello
Title
Owner
Phone
(682) 862-8574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2017 Dolly Dr
Weatherford, TX 76088-7055

Mailing address

2017 Dolly Dr
Weatherford, TX 76088-7055
Phone (682) 862-8574

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1023878089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 DOLLY DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887055",
            "telephone_number": "682-862-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 DOLLY DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760887055",
            "telephone_number": "682-862-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNELLO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "BRUNELLO",
        "authorized_official_first_name": "GINO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-862-8574"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.