| Brian K Brunckhorst, | |
|
1 W Ridgewood Ave, Suite 104, Paramus, NJ 07652-2359 | |
| (201) 652-1415 | |
| (201) 652-0391 |
| Full Name | Brian K Brunckhorst |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1 W Ridgewood Ave, Paramus, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235234972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01149200 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | PT030388 (Pennsylvania) | Primary |
| Provider Name | Rehabclinics Spt Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1255330148 PECOS PAC ID: 7113834102 Enrollment ID: O20180117000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian K Brunckhorst, 225 Inverness Cir, Chalfont, PA 18914-3919 Ph: (201) 456-8534 | Brian K Brunckhorst, 1 W Ridgewood Ave, Suite 104, Paramus, NJ 07652-2359 Ph: (201) 652-1415 |
Mrs. Sanjani S Patel, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 Veterans Way, Paramus, NJ 07652 Phone: 201-634-8246 Fax: 201-599-0390 | |
Allen Mundanchira, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 770 Highland Ave, Paramus, NJ 07652 Phone: 201-314-1174 | |
Leanna Mohollen, PT, DPT, MS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 776 N Rte 17, Paramus, NJ 07652 Phone: 201-808-2250 | |
Bernardo Paul Avenido Garcia, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 185 Nj-17 S, Suite 101b, Paramus, NJ 07652 Phone: 201-560-0711 | |
Prime Sports Physical Therapy And Chiropractic Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 E Rte 4 Ste 100, Paramus, NJ 07652 Phone: 201-905-1011 Fax: 551-295-7552 | |
Miss Maria Hazel Competente Belbis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 230 E Ridgewood Ave, Paramus, NJ 07652 Phone: 201-967-4000 | |
Dr. Adam Wang, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Sears Dr Ste 305, Paramus, NJ 07652 Phone: 201-261-5220 |