Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian K Brunckhorst

Individual provider Physical Therapist · NPI 1235234972

Brian K Brunckhorst is a Physical Therapist in Paramus, New Jersey. Licensed in New Jersey and Pennsylvania. Registered with an NPI since 2006.

Licensed in
NJ, PA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1 W Ridgewood Ave Ste 104
Paramus, NJ 07652-2359
Phone: (201) 652-1415
Fax: (201) 652-0391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT030388 (PA)
Physical Therapist Taxonomy 225100000X · Licence 40QA01149200 (NJ)

Record details

NPI number1235234972
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address225 Inverness Cir, Chalfont, PA 18914-3919

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