Jennifer Elayne Bruer-Vandeweert

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

043748 Issued in NY

Practice address

10 Hilton Rd
Dryden, NY 13053-9709

Phone

(607) 227-6340

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By 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 5

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, CO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Mountain Physical Therapy, IncGroup PAC ID 6901947647, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rocky Mountain Physical Therapy, Inc

  dba Rocky Mountain Physical Therapy

  • Physical Therapist
  • Windsor, CO
  • NPI 1790013001
  Medicare reassignment Care Compare group NPD
• Greenville Proaxis Therapy, LLC

  dba ATI Physical Therapy of Greenville

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859
  Medicare reassignment NPD
• Greenville Proaxis Therapy LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
  • NPI 1740052000
  NPD
• Rocky Mountain Physical Therapy Inc,

  dba Rocky Mountain Physical Therapy

  • Physical Therapist
  • Broomfield, CO
  • NPI 1699364463
  NPD (past)
• Rocky Mountain Physical Therapy, Inc

  • Physical Therapist
  • Johnstown, CO
  • NPI 1023610763
  NPD (past)
• Rocky Mountain Physical Therapy, Inc

  • Physical Therapist
  • Greeley, CO
  • NPI 1144822883
  NPD (past)
• Rocky Mountain Physical Therapy, Inc

  • Physical Therapist
  • Loveland, CO
  • NPI 1972104776
  NPD (past)

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1710450606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HILTON RD",
            "city": "DRYDEN",
            "state": "NY",
            "postal_code": "130539709",
            "telephone_number": "607-227-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HILTON RD",
            "city": "DRYDEN",
            "state": "NY",
            "postal_code": "130539709",
            "telephone_number": "607-227-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUER-VANDEWEERT",
        "first_name": "JENNIFER",
        "middle_name": "ELAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "9429",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1313495",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18459",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34271",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Benas, LMSW
• Travis Eugene Berggren
• Lynn Suzanne Boettger, SPEECH/LANGUAGE PATH
• Jeffrey Linn Bookhout, RPH
• Nicole Brinn
• James Douglas Bucko
• Renee Butler
• Dana Michelle Carruth, L.AC.
• Karyn Centro, RN
• Samantha Jane Clark, PHARM.D.

• Physical Therapist in Dryden, NY
• Providers in Dryden, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.