MRS. JACQUELINE ASHLEY BRUNELL PT, DPT
NPI 1174760755
Physical Therapist - Pediatrics in Shrub Oak, NY

Active since January 19, 2009
3506 JAMES ST, SHRUB OAK, NY 10588(631) 241-2727 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Jacqueline Ashley Brunell Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACQUELINE ASHLEY BRUNELL PT, DPT (NPI 1174760755) is an individual pediatrics provider in Shrub Oak, New York, licensed in New York (031023-1) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1174760755
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. JACQUELINE ASHLEY BRUNELLCredential: PT, DPT
Location Address3506 JAMES STShrub Oak, NY 10588-1916
Mailing Address3506 James StShrub Oak, NY 10588-1916 · (631) 241-2727
Sole ProprietorYes
Enumeration DateJanuary 19, 2009
Last NPPES UpdateMarch 16, 2016
NPI 1174760755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in NY · 031023-1
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

3506 JAMES ST, Shrub Oak, NY 10588

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174760755, enumerated as an "individual" on January 19, 2009.

The provider is located at 3506 JAMES ST SHRUB OAK, NY 10588 and the phone number is (631) 241-2727.

Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.