Michelle Elizabeth Brunson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05009796A Issued in IN

Practice address

3844 New Vision Dr
Fort Wayne, IN 46845-1724

Phone

(260) 483-9933

NPI assigned

May 20, 2009

Last updated

Jul 15, 2009By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthy Expectations, Inc

  • Physical Therapy Clinic/Center
  • Fort Wayne, IN
  • NPI 1023164423
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1376778357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 LOWER HUNTINGTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468191355",
            "telephone_number": "336-263-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 NEW VISION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451724",
            "telephone_number": "260-483-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009796A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ksenia Bruner
• Ann Marie Brunner
• Kristen Nicole Brunner, DDS
• Judith A Brunow, LMHC, MS
• Jessica Bruns, RBT
• Amy Lynne Bryan, O.D.
• Emily Nicole Bryan, M.A., CCC-SLP
• Julie Bryan, M.D.
• Cressilee Bryant, M.D.
• Javonuna Bryant

• Physical Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.