Individual provider Active NPI

Jesse Fox Brunner, DPT

  • Physical Therapist
  • North Las Vegas, NV
National Provider Identifier
1225538309
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5663 Issued in ID
Practice address
3155 W Craig Rd Ste 130&140
North Las Vegas, NV 89032-0782
Phone
(702) 639-2333
Fax
(702) 639-2334
NPI assigned
Feb 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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 PT5663 ID Primary

Addresses

Primary practice location

3155 W Craig Rd Ste 130&140
North Las Vegas, NV 89032-0782

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

1050 S Medical Dr Ste A
MT Pleasant, UT 84647-2200
Phone (435) 462-0178

Other practice location 2

49 West 700 South
Ephraim, UT 84627
Phone (435) 283-6334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AZ, NV, OR, NM, MO6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20220811003385 WA Practitioner - Physical Therapist in Private Practice 5799047700 Reassigns benefits to 1 organization
I20230112002415 AZ Practitioner - Physical Therapist in Private Practice 5799047700 Reassigns benefits to 1 organization
I20231026003348 NV Practitioner - Physical Therapist in Private Practice 5799047700 Reassigns benefits to 1 organization
I20240515000872 OR Practitioner - Physical Therapist in Private Practice 5799047700 Reassigns benefits to 1 organization
Practice locations: Clackamas, OR
I20241121004856 NM Practitioner - Physical Therapist in Private Practice 5799047700 Reassigns benefits to 1 organization
I20260523000397 MO Practitioner - Physical Therapist in Private Practice 5799047700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Erhardt Physical Therapy and Sports Medicine LLCGroup PAC ID 1153214739, 58 clinicians
Physical Therapy at Dawn LLCGroup PAC ID 0042221889, 29 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

11800 NE 128TH St
Suite 400
Kirkland, WA 98034-7299
Phone (425) 820-0869

11977 SE Sunnyside Rd
Clackamas, OR 97015-9312
Phone (503) 486-6944

3611 NM 528 NW
101 Ati Physical Therapy
Albuquerque, NM 87114-8920
Phone (505) 217-2826

5110 S Rural Rd
Suite 104
Tempe, AZ 85282-7289
Phone (480) 629-5549

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
88.33
Improvement activities
40
Cost
75.93

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as group
Quality
87.65
Improvement activities
40
Cost
73.37

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as group
Quality
85
Improvement activities
40
Cost
85.47

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6293NVMDDentist
PT5663IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Apr 16, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Sep 25, 2023 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Sep 25, 2023 Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Oct 6, 2022 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Physical Therapy at Dawn, LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Ideal Rehabilitation LLC PastSince Oct 6, 2022 Accepting new patients
Therapy West Rehab Agency LLC Past Accepting new patients

Locations

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930

600 Central Ave SE
Ste D
Albuquerque, NM 87102
Phone (505) 242-2294

3611 NM 528 NW
Ste 101
Albuquerque, NM 87114
Phone (505) 217-2826

4000 S Eastern Ave
Ste 300
Las Vegas, NV 89119
Phone (702) 734-2732

3155 W Craig Rd
Ste 120140
North Las Vegas, NV 89032
Phone (702) 639-2333

3155 W Craig Rd
Ste 120
North Las Vegas, NV 89032
Phone (702) 639-2333

3155 W Craig Rd
Ste 140
North Las Vegas, NV 89032
Phone (702) 639-2333

735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035

11977 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 486-6944

51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

11800 NE 128th St
Ste 400
Kirkland, WA 98034
Phone (425) 820-0869

11800 NE 128th St
Kirkland, WA 98034
Phone (425) 823-3937

11620 97th Ln NE
Kirkland, WA 98034
Phone (425) 820-0869

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 11

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": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1225538309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 W CRAIG RD STE 130&140",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320782",
            "telephone_number": "702-639-2333",
            "fax_number": "702-639-2334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 S Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "UT",
            "postal_code": "846472200",
            "country_code": "US",
            "telephone_number": "435-462-0178",
            "fax_number": "435-462-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 WEST 700 SOUTH",
            "address_purpose": "LOCATION",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "84627",
            "country_code": "US",
            "telephone_number": "435-283-6334",
            "fax_number": "435-283-6336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "JESSE",
        "middle_name": "FOX",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT5663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.