Active NPI
Dianne Brunner, PT
- Physical Therapist
- Johnson City, NY
National Provider Identifier
1235685066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009471-1
- Practice address
- 33-55 Harrison Street
Wilson Hospital
Johnson City, NY 13790 - Phone
- (607) 763-6033
- NPI assigned
- Aug 31, 2016
- Last updated
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009471-1 | NY | Primary |
Addresses
Primary practice location
33-55 Harrison Street
Wilson Hospital
Johnson City, NY 13790
Mailing address
33-55 Baldwin Street
Wilson Hospital
Johnson City, NY 13790
Phone (607) 763-6033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009471-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1235685066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33-55 BALDWIN STREET",
"address_2": "WILSON HOSPITAL",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "13790",
"telephone_number": "607-763-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33-55 HARRISON STREET",
"address_2": "WILSON HOSPITAL",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "13790",
"telephone_number": "607-763-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNNER",
"first_name": "DIANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "009471-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.