Patricia Dawn Bruker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003760 Issued in VA

Practice address

2410 Larkwood Rd.
Richmond, VA 23294

Phone

(804) 346-0066

NPI assigned

Jan 19, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• James W Fuller PHD Inc

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1518054733
  NPD (past)

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1134450901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 LARKWOOD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "804-346-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 LARKWOOD RD.",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "804-346-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUKER",
        "first_name": "PATRICIA",
        "middle_name": "DAWN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Marijke Bruce, PHARMD
• William Bruch, M.D.
• Tabbitha Ivalene Bruck, PHARMD
• Katherine Bruckner, MED, LBA
• Victor Miller Brugh II, MD
• Andrew Jay Brumberg, D.C.
• Alicia Brunelle, MD
• David B Brunner
• Thomas Cyril Brunner, FNP-BC
• David Anthony Bruno, M.D.

• Physical Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.