Rochelle Brucker, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2902 Issued in CA

Practice address

350 John Muir Parkway
Suite 265
Brentwood, CA 94513

Phone

(925) 513-8883

Fax

(925) 513-0724

NPI assigned

Dec 11, 2006

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

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194885889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 CENTENNIAL PL",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945136937",
            "telephone_number": "925-513-1391",
            "fax_number": "925-513-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHN MUIR PARKWAY",
            "address_2": "SUITE 265",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "94513",
            "telephone_number": "925-513-8883",
            "fax_number": "925-513-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKER",
        "first_name": "ROCHELLE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT2902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aniyah Broughton
• Burt Joseph Broussard, D.C.
• Malaija Brown Roberson
• Deshana Brown
• Keisha Lashawn Brown
• Mariah Bryant
• Ira Harold Buchalter
• Carol A Buchanan, OD
• Catherine Budu
• Maria Perla Legaspi Buenaflor-Sales, AGPCNP

• Physical Therapist in Brentwood, CA
• Providers in Brentwood, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.