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

Individual provider Physical Therapist · NPI 1790260123

Charles Brunckhorst, PT, DPT is a Physical Therapist in Fairfield, Connecticut. Licensed in Connecticut. Registered with an NPI since 2018.

Licensed in
CT
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone: (203) 384-8681
Fax: (203) 384-0722
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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 11878 (CT)

Record details

NPI number1790260123
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 2, 2018
Last updated in NPPESOctober 2, 2018

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