Justin Brucker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT032229 Issued in PA

Practice address

1300 Oxford Dr Ste 1400
Bethel Park, PA 15102-1800

Phone

(412) 851-8850

NPI assigned

May 14, 2024

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: justin.t.brucker@upmcdirect.com

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.

• Core Network, LLC

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1871551028
  NPD (past)

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1205685146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BARNWOOD DR",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151024504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 OXFORD DR STE 1400",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021800",
            "telephone_number": "412-851-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKER",
        "first_name": "JUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-06-05",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.t.brucker@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bridges to Thrive Counseling & Wellness, LLC
• Nathaniel Thomas Briggs, OD
• Holly A Bright, CRNP
• Lori Marie Brown, D.O.
• Phillip William Brown, D.P.M
• Kyle Daro Buchanan, MD
• Diane Marie Buchbarker, MD
• Lisa Lynn Buczynski
• Raye J Budway, M.D.
• Camille M Buonocore, M.D.

• Physical Therapist in Bethel Park, PA
• Providers in Bethel Park, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.