Individual provider Active NPI

Jared Bruce, PT

  • Physical Therapist
  • Huntington, WV
National Provider Identifier
1720919418
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004959 Issued in WV
Practice address
2240 5TH Ave Ste 101
Huntington, WV 25703-1290
Phone
(304) 525-4445
Fax
(304) 529-7449
NPI assigned
May 29, 2026
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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 004959 WV Primary

Addresses

Primary practice location

2240 5TH Ave Ste 101
Huntington, WV 25703-1290

Mailing address

2240 5TH Ave Ste 101
Huntington, WV 25703-1290
Phone (304) 525-4445

Other practice location 1

14707 US Route 60 Ste A
Milton, WV 25541-3057
Phone (304) 525-4473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntington Physical Therapy Services IncGroup PAC ID 4385625631, 9 clinicians

Practice addresses (Care Compare)

2240 5TH Ave
Suite 101
Huntington, WV 25703-1239
Phone (304) 525-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004959WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Physical Therapy Services Inc Physical Therapist PastSince Jun 1, 2026 Accepting new patients

Organizations & group practices 1

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": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1720919418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 5TH AVE STE 101",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031290",
            "telephone_number": "304-525-4445",
            "fax_number": "304-529-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 5TH AVE STE 101",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031290",
            "telephone_number": "304-525-4445",
            "fax_number": "304-529-7449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14707 US Route 60 Ste A",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "WV",
            "postal_code": "255413057",
            "country_code": "US",
            "telephone_number": "304-525-4473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "JARED",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.