Individual provider Active NPI

Candice S Brueck, PT

  • Physical Therapist
  • Wilmington, NC
National Provider Identifier
1114098449
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22344 Issued in NC
Practice address
1630 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5719
Phone
(910) 798-2318
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22344 NC Primary

Addresses

Primary practice location

1630 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5719

Mailing address

1630 Military Cutoff Rd Ste 110
Wilmington, NC 28403-5719
Phone (910) 798-2318

Other identifiers 3

IdentifierTypeStateIssuer
5270302OtherVMC EMI
06558898OtherBLUE CROSS
360645OtherMVP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824002341 NC Practitioner - Physical Therapist in Private Practice 5395646699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breakthrough Physical Therapy IncGroup PAC ID 9234274754, 110 clinicians

Practice addresses (Care Compare)

171 Old Hwy 58
Suite 5
Cedar Point, NC 28584-9342
Phone (252) 324-4695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0400003490VTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Physical Therapy Inc Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Physical Therapy for Women, Inc Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Breakthrough Physical Therapy Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

171 Old Highway 58
Ste 5
Cedar Point, NC 28584
Phone (252) 324-4695

303 N 35th St
Morehead City, NC 28557
Phone (252) 247-2738

1630 Military Cutoff Rd
Ste 110
Wilmington, NC 28403
Phone (910) 798-2318

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1114098449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 MILITARY CUTOFF RD STE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035719",
            "telephone_number": "910-798-2318",
            "fax_number": "910-798-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 MILITARY CUTOFF RD STE 110",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035719",
            "telephone_number": "910-798-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUECK",
        "first_name": "CANDICE",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VMC EMI",
            "identifier": "5270302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "06558898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "360645",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.