Active NPI
Stephenie Michelle Vanbrunt, MPT
- Physical Therapist
- Edgewater Park, NJ
National Provider Identifier
1730332297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00854000
- Practice address
- 208 E Franklin Ave
Edgewater Park, NJ 08010-1806 - Phone
- (609) 835-1738
- NPI assigned
- Oct 28, 2008
- Last updated
- Oct 28, 2008
- 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 | 40QA00854000 | NJ | Primary |
Addresses
Primary practice location
208 E Franklin Ave
Edgewater Park, NJ 08010-1806
Mailing address
208 E Franklin Ave
Edgewater Park, NJ 08010-1806
Phone (609) 835-1738
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00854000 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1730332297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 E FRANKLIN AVE",
"city": "EDGEWATER PARK",
"state": "NJ",
"postal_code": "080101806",
"telephone_number": "609-835-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 E FRANKLIN AVE",
"city": "EDGEWATER PARK",
"state": "NJ",
"postal_code": "080101806",
"telephone_number": "609-835-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANBRUNT",
"first_name": "STEPHENIE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00854000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewater Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.