MEDICARE: CARA MAYBRUCK PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT020758	PA

General Provider Information

NPI Number	:	1477417939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA MAYBRUCK PT

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1075 VIRGINIA DR STE 200
Second Line	:
City	:	FT WASHINGTON
State	:	PA
Zip	:	19034-3108
Country	:	US
Telephone Number	:	215-619-4545
Fax Number	:	215-619-4555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ CARA MAYBRUCK PT” Practice Location

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