Jason Todd Brunner, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE001732L Issued in PA

Practice address

600 W Valley Forge Rd
King of Prussia, PA 19406-1571

Phone

(610) 337-1775

Fax

(866) 644-5682

NPI assigned

Oct 16, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1184876526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 VILLAGE DR",
            "city": "SCHWENKSVILLE",
            "state": "PA",
            "postal_code": "194731795",
            "telephone_number": "267-242-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W VALLEY FORGE RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061571",
            "telephone_number": "610-337-1775",
            "fax_number": "866-644-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "JASON",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE001732L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martisha Brown
• Rachel Brown
• Tamara Brown
• Rachel Elizabeth Brownback, MS,OT
• Gloria C. Browne Forman, MA, CAADC,LPC
• Bryn Mawr Medical Specialists Association
• Kimberly Buckley, RBT
• Tyler Bullock-Ballinger
• Rebecca Burchard
• Robin Burgess, BCBA

• Physical Therapy Assistant in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.