Nancy Bru, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38782 Issued in CA

Practice address

2170 South Ave
South Lake Tahoe, CA 96150-7026

Phone

(530) 543-5896

Fax

(530) 544-6512

NPI assigned

Mar 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Team Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1205869070

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1083989776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-543-5896",
            "fax_number": "530-544-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-543-5896",
            "fax_number": "530-544-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRU",
        "first_name": "NANCY",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38782",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Briede
• Chelsea C Brierly, MA MFT
• Kaye Mary Brindley, LCSW
• Mackenzie Bronson, MD
• Harrison Thomas Calhoun Brown, DPT
• Veronica Helene Bruce, CNS
• Shannon Bruckbauer
• Azadeh Brumand, D.O.
• Vernon Arthur Bry Jr., MD
• Jordan Lewis Bugarske, PTA

• Physical Therapist in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.