Willis Brucker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0015864 Issued in CO

Practice address

8111 E Lowry Blvd Ste 220
Denver, CO 80230-7255

Phone

(720) 514-0751

NPI assigned

Sep 3, 2018

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

Enrolled in CO, WI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of New England, College of Osteo Medicine, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Evolve Physical Therapy and Sports Medicine LLCGroup PAC ID 6204298029, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Evolve Physical Therapy and Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
  • NPI 1043924319

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Bradford Physical Therapy PC

  • Physical Therapist
  • Littleton, CO
  • NPI 1124204508
  Medicare reassignment NPD
• Orthopedic Centers of Colorado, LLC

  • Orthopaedic Surgery Physician
  • Denver, CO
  • NPI 1801339502

  Physical Therapist

  Medicare reassignment NPD
• Orthopedic Centers of Colorado, LLC

  • Orthopaedic Surgery Physician
  • Superior, CO
  • NPI 1336870856

  Physical Therapist

  NPD

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535932800000",
    "number": "1255813622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 E LOWRY BLVD STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 E LOWRY BLVD STE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307255",
            "telephone_number": "720-514-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKER",
        "first_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce I.Greenstein DMD PC
• Emily Bruce, RN
• Jaclyn Michelle Bruce, M.A. CCC-SLP
• Summer Bruce
• Edward F Bruck, M.D.
• Stuart L Bruckman, PA-C
• Risa Michelle Brudney, MD
• Andreas Brueggler, NP
• Thomas Bruett, LMFT
• Angela Bruflat, PT, DPT, NCS

• Physical Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.