Active NPI
Jennifer D Bruce, PT
- Physical Therapist
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8067
- Practice address
- 9800 Kincey Ave
Ste 180
Huntersville, NC 28078-8415 - Phone
- (704) 948-2701
- Fax
- (704) 948-2859
- NPI assigned
- Apr 18, 2006
- Last updated
- Nov 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8067 | NC | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
290 N NC 16 Business Hwy
Denver, NC 28037-8011
Phone (704) 483-0777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8067 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Physical Therapy & Sports Performance | Physical Therapist | Current | 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
Organizations & group practices 3
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.
-
- Physical Therapist
- Denver, NC
- NPI 1861555278
-
dba Thomas Physical and Hand Therapy
- Physical Therapy Clinic/Center
- Huntersville, NC
- NPI 1659455350
Physical Therapist
-
dba Thomas Physical and Hand Therapy
- Durable Medical Equipment & Medical Supplies
- Huntersville, NC
- NPI 1720293137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1689639288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7799 OAK HAVEN LN",
"city": "STANLEY",
"state": "NC",
"postal_code": "281647826",
"telephone_number": "704-252-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 KINCEY AVE",
"address_2": "STE 180",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280788415",
"telephone_number": "704-948-2701",
"fax_number": "704-948-2859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "JENNIFER",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.