Individual provider Active NPI

Joshua Bruner, P.T, D.P.T

  • Physical Therapist
  • Dubuque, IA
National Provider Identifier
1649683970
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
073773 Issued in IA
Practice address
1665 Embassy West Dr
Dubuque, IA 52002-2276
Phone
(563) 585-1290
Fax
(563) 585-1274
NPI assigned
Jun 4, 2014
Last updated
Jun 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 073773 IA Primary

Addresses

Primary practice location

1665 Embassy West Dr
Dubuque, IA 52002-2276

Mailing address

1665 Embassy West Dr
Dubuque, IA 52002-2276
Phone (563) 585-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140821000822 IA Practitioner - Physical Therapist in Private Practice 8628296324 Reassigns benefits to 2 organizations
I20240502000404 WI Practitioner - Physical Therapist in Private Practice 8628296324 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Finley Hospital Current Accepting new patients
The Finley Hospital Physical Therapist CurrentSince Jun 2, 2014 Accepting new patients
Southwest Health Center, Inc. CurrentSince Mar 10, 2024 Accepting new patients
Fox Rehab PT Ia PLLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Southwest Health Center, Inc Current Accepting new patients
Southwest Health Center, Inc. CurrentSince Mar 10, 2024 Accepting new patients

Locations

1665 Embassy West Dr
Dubuque, IA 52002
Phone (563) 557-9618

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Dominic VillaHazel Green, WI, CCN 525660 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 6, 2024
Apr 25, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1649683970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 EMBASSY WEST DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022276",
            "telephone_number": "563-585-1290",
            "fax_number": "563-585-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 EMBASSY WEST DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022276",
            "telephone_number": "563-585-1290",
            "fax_number": "563-585-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "JOSHUA",
        "credential": "P.T, D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "073773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.