Amy Bruner, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT007863 Issued in PA

Practice address

257 State Rd
West Grove, PA 19390-8956

Phone

(610) 869-2446

NPI assigned

Nov 22, 2023

Last updated

Nov 22, 2023By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1467227165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 LEARY RD",
            "city": "HONEY BROOK",
            "state": "PA",
            "postal_code": "193449033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 STATE RD",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908956",
            "telephone_number": "610-869-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "AMY",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT007863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Breslow, DO
• Brian C. de Muth, M.D., PA (Chesapeake Sports & Orthopaedics)
• James Christopher Brinton, MPT
• Katherine Ann Brown, RBT
• Nicole Brownback, LSW
• Sean Burns, LPC
• David M Callahan, D.O.
• Christopher Vincent Campagna, MPT
• Ashlie Caputo
• Jailis Caraballo

• Athletic Trainer in West Grove, PA
• Providers in West Grove, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.