MEDICARE: AIMEE C BRUECK MPT

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	070.013401	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780715573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE C BRUECK MPT

Provider Business Mailing Address
First Line	:	PO BOX 273253
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33427-3253
Country	:	US
Telephone Number	:	561-376-2573
Fax Number	:	561-218-4939

Provider Business Practice Location Address
First Line	:	7000 W PALMETTO PARK RD STE 201
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3430
Country	:	US
Telephone Number	:	561-376-2573
Fax Number	:	561-218-4939

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/18/2025

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