Ashley Victoria Bruzzese, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

013618 Issued in OH

Practice address

1317 Cooper Foster Park Rd
Amherst, OH 44001-1201

Phone

(440) 315-7358

NPI assigned

Mar 8, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

• Ashley V Deitz Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2019.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1962776930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011201",
            "telephone_number": "440-315-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 COOPER FOSTER PARK RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011201",
            "telephone_number": "440-315-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUZZESE",
        "first_name": "ASHLEY",
        "middle_name": "VICTORIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "013618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING/COMPANY NPI",
            "identifier": "1245400852",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "DEITZ",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wayne Brabender, MD
• Casey Elizabeth Brown, MOT/R
• Christine Marie Brown
• Heather Ann Bruderer, CNM
• Elizabeth A Bruot, LSW
• Addison Marie Buckholz
• Marjuci Bukovac
• Anastasia Dawn Burkes
• Shane Burnsworth
• Donna Burton

• All providers in Amherst, OH
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.