Theresa M. Brun, MPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT015824 Issued in PA

Practice address

9379 Krewstown Rd
Philadelphia, PA 19115-3710

Phone

(215) 676-6760

Fax

(215) 676-3746

NPI assigned

Aug 4, 2005

Last updated

Nov 6, 2008By 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

• Theresa M. Crawford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Northeast Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1891978417
  NPD (past)
• Orthopedic and Sports Physical Therapy Services, Inc.

  dba Excel Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1588661235
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1619978244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BAINBRIDGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471568",
            "telephone_number": "215-629-1270",
            "fax_number": "215-629-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9379 KREWSTOWN RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153710",
            "telephone_number": "215-676-6760",
            "fax_number": "215-676-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUN",
        "first_name": "THERESA",
        "middle_name": "M.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "PT015824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "CRAWFORD",
            "middle_name": "M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joanne Brumbaugh-Archer, MD
• Kiersten Lynn Brumbaugh
• Kathleen Agnes Brummer Torres
• Katlyn Brummet
• Riley Brummett, LSW
• Amy Elizabeth Brundage, CRNP
• Emily Brune
• Steven M Brunelli, M.D.
• Andrew Bruner, D.M.D., M.S.
• Jenna Brunette

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.