Individual provider Active NPI

Jillian Vanbrunt, PT

  • Physical Therapist
  • Victor, NY
National Provider Identifier
1295565141
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6534 Anthony Dr Ste C
Victor, NY 14564-1421
Phone
(585) 869-5140
Fax
(585) 869-5142
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 Primary

Addresses

Primary practice location

6534 Anthony Dr Ste C
Victor, NY 14564-1421

Mailing address

2561 Lac de Ville Blvd Ste 100
Rochester, NY 14618-5645
Phone (585) 869-5140

Other practice location 1

2561 Lac De Ville Blvd Ste 100
Rochester, NY 14618-5645
Phone (585) 473-1290

Other practice location 2

91 Erie Canal Dr Ste E
Rochester, NY 14626-4603
Phone (585) 910-2242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821003815 NY Practitioner - Physical Therapist in Private Practice 3779021753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Limitless Physical Therapy PCGroup PAC ID 5991967846, 32 clinicians

Practice addresses (Care Compare)

6534 Anthony Dr
Suite C
Victor, NY 14564-1421
Phone (585) 869-5140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Limitless Management Services, LLC CurrentSince Oct 31, 2025 Accepting new patients
Limitless Physical Therapy PC CurrentSince Aug 14, 2024 Accepting new patients

Locations

2561 Lac de Ville Blvd
Ste 100
Rochester, NY 14618
Phone (585) 473-1290

91 Erie Canal Dr
Ste E
Rochester, NY 14626
Phone (585) 910-2242

6534 Anthony Dr
Ste C
Victor, NY 14564
Phone (585) 869-5140

Organizations & group practices 2

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": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1295565141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 LAC DE VILLE BLVD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185645",
            "telephone_number": "585-869-5140",
            "fax_number": "585-869-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6534 ANTHONY DR STE C",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641421",
            "telephone_number": "585-869-5140",
            "fax_number": "585-869-5142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2561 Lac De Ville Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146185645",
            "country_code": "US",
            "telephone_number": "585-473-1290",
            "fax_number": "585-869-5142",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "91 Erie Canal Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264603",
            "country_code": "US",
            "telephone_number": "585-910-2242",
            "fax_number": "585-869-5142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANBRUNT",
        "first_name": "JILLIAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.