Benjamin Bruckner
Individual provider Active NPI Physical Therapist · Louisville, KY
NPI 1033093034 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1033093034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 2701 Chestnut Station CT
Louisville, KY 40299-6395 - Phone
- (800) 335-1060
- NPI assigned
- Aug 4, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
2701 Chestnut Station CT
Louisville, KY 40299-6395
Mailing address
676 Dairy Way
Lancaster, KY 40444-7652
Other providers in Louisville, KY
- Kristine Brucal
- Bruce a McKinney
- Charles O Bruce III
- Tonya Marie Bruce
- Heather Lacole Bruck
- Kayla Jean Bruderle
- Lynda Kaye Bruederle
- Carolyn Brueggemann
- David Martin Bruenderman
- Elizabeth Holt Bruenderman
All providers in Louisville, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.