Jennifer C Brester, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009825 Issued in CT

Practice address

72 Pine St
Bristol, CT 06010

Phone

(860) 585-5800

Fax

(860) 585-5840

NPI assigned

Aug 31, 2013

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

• Jennifer Rudzinski Former name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Center of Bristol LLCGroup PAC ID 4385537075, 6 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 and National Provider Directory roles.

• Physical Therapy Center of Bristol, LLC

  • Physical Therapy Clinic/Center
  • Bristol, CT
  • NPI 1396893590

  CT, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1377907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1639503170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PINE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106960",
            "telephone_number": "860-585-5800",
            "fax_number": "860-585-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 PINE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-585-5800",
            "fax_number": "860-585-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESTER",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-31",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "RUDZINSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emily Macomber Bourret, PHARMD
• Arcola Renee Bowden, LCSW
• Driola Brahaj
• Barbara Lois Braunstein, LCSW
• Breakthrough Counseling LLC
• Jamie Breton
• Rachel Bridgemohan, APRN
• Bridget M. McCue, LCSW, LLC
• Lauren Briggs, PHARMD, RPH
• Bristol Cardiovascular Associates, PC

• All providers in Bristol, CT
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.