Stephanie Bolebruch, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00857200 Issued in NJ

Practice address

101 Madison Ave
Morristown, NJ 07960-7357

Phone

(973) 292-1101

Fax

(973) 292-4149

NPI assigned

Dec 8, 2006

Last updated

May 8, 2014By 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

Other names 1

• Stephanie McPhail Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Rutgers New Jersey Medical School, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Logos Physical TherapyGroup PAC ID 8123319795, 2 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.

• Logos Physical Therapy

  • Physical Therapy Clinic/Center
  • Hopelawn, NJ
  • NPI 1861864217
  Medicare reassignment Care Compare group NPD
• Attain Physical Therapy

  • Physical Therapist
  • Shrewsbury, NJ
  • NPI 1609406438
  Medicare reassignment NPD
• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment NPD
• Strive2Move

  • Rehabilitation Chiropractor
  • Martinsville, NJ
  • NPI 1528448420
  NPD (past)
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1447319843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MADISON AVE",
            "address_2": "SUITE 130",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606967",
            "telephone_number": "732-485-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607357",
            "telephone_number": "973-292-1101",
            "fax_number": "973-292-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEBRUCH",
        "first_name": "STEPHANIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00857200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MCPHAIL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• BMB Solutions LLC
• Ann Bobrow, L.P.C.
• Barbara Bocchino, CRNA
• Claire G Boccia Liang, MD
• Suzanne Bodian, PT DPT
• Christina Gabrielle Bonanni, APN
• Jacqueline Bonanno, MA
• Klery Bonilla
• Reginald Bonnah, DNP, APN
• Nancy Bonnet, APN

• Physical Therapist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.