Bruce Wesley Faulkner, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA01628200 Issued in NJ

Practice address

1120 Promenade Blvd
Fair Lawn, NJ 07410-2770

Phone

(201) 703-8820

NPI assigned

Mar 26, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kessler Institute for Rehabilitation Inc

  • Rehabilitation Hospital
  • West Orange, NJ
  • NPI 1013919620
  NPD (past)
• Kessler Institute for Rehabilitation, Inc.

  • Rehabilitation Hospital
  • Marlton, NJ
  • NPI 1528512266
  NPD (past)

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490486400000",
    "number": "1982135422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LENAPE RD",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562527",
            "telephone_number": "862-377-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PROMENADE BLVD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102770",
            "telephone_number": "201-703-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "BRUCE",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-26",
        "last_updated": "2017-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01628200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Dentists, P.a.
• Family Eyecare Associates, PC
• Syeda Saleha Farooqui, MD
• Linda Fasano, LCSW
• Eric Fass, D.M.D.
• Kimberly N Favara, PT
• Vincent Federico, ACUPUNCTURIST
• Whitney Michaela Feeley, MSW
• Shoshana N Feiner, M.D.
• Sasha Femoyer, L.S.W

• Orthopedic Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; 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.