Olivia Bruck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019671 Issued in MI

Practice address

1277 E Siena Heights Dr
Adrian, MI 49221-1755

Phone

(517) 266-3641

NPI assigned

Sep 22, 2020

Last updated

Sep 22, 2020By the provider in NPPES

Sex

Female

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Michigan LLCGroup PAC ID 6901165893, 156 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Brzezinski Chiropractic, PLLC

  • Chiropractor
  • Brooklyn, MI
  • NPI 1720420326
  NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1285240564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W US HIGHWAY 223",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492218439",
            "telephone_number": "517-263-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 E SIENA HEIGHTS DR",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211755",
            "telephone_number": "517-266-3641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 S Main St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "MI",
            "postal_code": "492309158",
            "country_code": "US",
            "telephone_number": "517-938-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCK",
        "first_name": "OLIVIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Lynn Brooks
• Brown Chiropractic Center PLLC
• Heather Kay Brown
• Ryan Brown
• John Brubaker, LLPC
• Nicoletta Mary Bruno, PTA
• Mary Mackenzie Bryant
• Janice M Buchin, LMSW ACSW
• Seth Buckman
• Taran Buie

• Physical Therapist in Adrian, MI
• Providers in Adrian, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.