Jennifer D Bruce, PT
Individual provider Active NPI Physical Therapist · Huntersville, NC
NPI 1689639288 · NPPES record last updated Nov 24, 2009
Key facts
- NPI
- 1689639288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8067 (NC)
- Practice address
- 9800 Kincey Ave
Ste 180
Huntersville, NC 28078-8415 - Phone
- (704) 948-2701
- Fax
- (704) 948-2859
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Physical Therapy and Sports Performance
Practice addresses (Care Compare)
290 N NC 16 Business Hwy
Denver, NC 28037-8011
Phone (704) 483-0777
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060403000281 | NC | Practitioner - Physical Therapist in Private Practice | 2860400835 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8067 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Physical Therapy & Sports Performance | Physical Therapist | Current |
Accepting new patients |
| Phoenix Physical Therapy and Sports Performance -Lake Norman | Past | Accepting new patients | |
| Thomas Hand and Rehabilitation Specialists Limited Partnership | Physical Therapist | Past | Accepting new patients |
| Thomas Hand and Rehabilitation Specialists Limited Partnership | Past | Accepting new patients |
Locations
290 N NC 16 Business Hwy
Denver, NC 28037
Phone (704) 483-0777
9195 Sherrills Ford Rd
Terrell, NC 28682
Phone 7044830777 ext. 36611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8067 | NC | Yes |
Addresses
Primary practice location
9800 Kincey Ave
Ste 180
Huntersville, NC 28078-8415
Mailing address
7799 Oak Haven LN
Stanley, NC 28164-7826
Phone (704) 252-0317
Other providers in Huntersville, NC
- Sara Jocelyn Brown
- Sarah Elizabeth Brown
- Sarah Marie Brown
- Suzanne S. Brown
- Thomas A. Brown
- Josh Bruce
- Cristina Bruington
- Gina Marie Brun
- Bryan T Persinger DDS PLLC III
- Cheyenne Bryant
All providers in Huntersville, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.