MEDICARE: BRUN PHYSICAL THERAPY P.C.

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

General Provider Information

NPI Number	:	1811844004
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUN PHYSICAL THERAPY P.C.

Provider Business Mailing Address
First Line	:	5739 VAN HORN STREET
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-4851
Country	:	US
Telephone Number	:	929-329-7901
Fax Number	:	866-484-8049

Provider Business Practice Location Address
First Line	:	5739 VAN HORN STREET
Second Line	:
City	:	ELMHURST
State	:	NY
Zip	:	11373-4851
Country	:	US
Telephone Number	:	929-329-7901
Fax Number	:	866-484-8049

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	CHARLOTTE GRAFIL BRUN
Credential	:	DPT
Telephone Number	:	929-329-7901

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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