Timothy William Bruner, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01918600 Issued in NJ

Practice address

770 Lighthouse Dr Unit 170
Barnegat, NJ 08005-2373

Phone

(609) 698-1073

NPI assigned

Apr 3, 2020

Last updated

Apr 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onondaga Physical Therapy, LLCGroup PAC ID 8325039365, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.61 of 100Reported as group

Quality

81.84

Improvement activities

40

Cost

76.23

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Cicero, NY
  • NPI 1225263536
  Medicare reassignment Care Compare group NPD
• Barnegat Sports Rehabilitation & Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Barnegat, NJ
  • NPI 1477617405

  Physical Therapist

  Medicare reassignment NPD
• Onondaga Physical Therapy

  • Physical Therapist
  • Wolcott, NY
  • NPI 1689931461
  NPD
• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1811094402
  NPD (past)

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1063041945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 CENTER ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311234",
            "telephone_number": "717-599-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 LIGHTHOUSE DR UNIT 170",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052373",
            "telephone_number": "609-698-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01918600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jane Belk, APN
• Kimberly Benitez
• Charlene Black, DPT
• Blossom Pediatric Therapy
• Eric James Borgeson, PHARMD
• Nancy Buckley, LPN
• William Joseph Campagnolo, D.C.
• Albert Campana, D.C.
• Jenna Carll
• Kathy S Carrabba, NP

• Physical Therapist in Barnegat, NJ
• Providers in Barnegat, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.