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

Individual provider Physical Therapist · NPI 1962120600

Dr. Joseph Bruccoleri, DPT is a Physical Therapist in Private Practice in Redondo Beach, California. Qualified in 2022, 4 years ago. Practices with New Life Physical Therapy Services PC, a 94-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

801 S Pacific Coast Hwy
Redondo Beach, CA 90277-4764
Phone: (424) 349-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1962120600
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 17, 2022
Mailing address317 Unit D Garnet Street, Redondo Beach, CA 90277

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice New Life Physical Therapy Services Pc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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