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Dr. Bruce Wesley Faulkner, PT, DPT

Physical Therapist, Orthopedic in Fair Lawn, NJ. Individual provider (NPI-1).

NPI number1982135422
StatusActive
Last updated in NPPESMar 26, 2017

Details

NPI
1982135422
Entity type
Individual (NPI-1)
Name
Dr. Bruce Wesley Faulkner
Credential
PT, DPT
Sex
Male
Sole proprietor
No
Enumeration date
Mar 26, 2017
Last updated
Mar 26, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic40QA01628200NJYes

Practice location

1120 Promenade Blvd
Fair Lawn, NJ 07410-2770

Phone 201-703-8820

Mailing address

25 Lenape Rd
Ringwood, NJ 07456-2527

Phone 862-377-5137

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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