Provider Demographics
NPI:1639364821
Name:BREGLER, STEPHEN M (PT)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:M
Last Name:BREGLER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 IBIS DR
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-1926
Mailing Address - Country:US
Mailing Address - Phone:561-998-0077
Mailing Address - Fax:561-998-0078
Practice Address - Street 1:530 IBIS DR
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-1926
Practice Address - Country:US
Practice Address - Phone:561-998-0077
Practice Address - Fax:561-998-0078
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13223225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY038UYMedicare PIN