NICHOLAS BRUNO (NPI# 1164831160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164831160 |
| Entity Type | Individual |
| Full Name | NICHOLAS BRUNO |
| Credential | PT, DPT, CSCS |
| Practice Address |
2 Dudley St Suite 200 Providence RI 02905-3236 |
| Mailing Address |
Po Box 1119 Providence RI 02901-1119 |
| Practice Telephone | 4014571590 |
| Mailing Telephone | 4014571590 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT02713 | RI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104223510 | Nicholas Bruno | Social Worker | 1320 Wisconsin Ave, Racine, WI 53403 | 2014-12-01 |
| 1053413484 | Nicholas Paul Bruno | Dermatology | 3 Wake Robin Rd Unit 5, Lincoln, RI 02865-4208 | 2006-09-05 |
| Street Address |
2 DUDLEY ST SUITE 200 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356343651 | Northeast Orthotics and Prosthetics Inc | Prosthetic/Orthotic Supplier | 2 Dudley St, Ste 161, Providence, RI 02905-3236 | 2005-06-01 |
| 1366935231 | Christy Gandhi | Obstetrics & Gynecology | 2 Dudley St, Providence, RI 02905-3236 | 2018-06-14 |
| 1295274215 | Nora Kinslow | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2017-02-23 |
| 1578008082 | Laura Nelson | Occupational Therapist | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-12-20 |
| 1619328127 | Bryan Jon Berlin | Physician Assistant | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2016-06-27 |
| 1245600238 | Kristin Wedel | Social Worker | 2 Dudley St, Providence, RI 02905-3236 | 2015-10-02 |
| 1497155378 | Michael Platz | Occupational Therapist | 2 Dudley St, Ste 200, Providence, RI 02905-3236 | 2014-08-28 |
| 1619389160 | Laurie J Deruosi | Nurse Practitioner | 2 Dudley St, Suite G 85, Providence, RI 02905-3236 | 2014-06-02 |
| 1851729511 | Rhode Island Hospital | Surgery | 2 Dudley St, Suite 180, Providence, RI 02905-3236 | 2013-10-16 |
| 1184066110 | Kailey Elizabeth Lyford | Physician Assistant | 2 Dudley St, Suite 200, Providence, RI 02905-3236 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508821810 | Edward P Brady | Physical Therapist | 955 Chalkstone Ave, Providence, RI 02908-4220 | 2006-04-19 |
| 1659883742 | Academy Physical Therapy, Inc. | Physical Therapist | 667 Academy Ave, Providence, RI 02908-2105 | 2017-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843911 | Devin A Finnegan | Physical Therapist | 7540 Post Rd # 3211, North Kingstown, RI 02852-3901 | 2020-08-24 |
| 1508291204 | Kasey L Drayton | Physical Therapist | 28 Burdick Ave, Newport, RI 02840-1709 | 2013-09-12 |
| 1700919602 | Kerri Lee Ialongo Gillette | Physical Therapist | 38 Brown St, North Kingstown, RI 02852-5039 | 2007-03-13 |
| 1255392338 | Kevin Francis Medeiros | Physical Therapist | 203 Concord St, Suite 301, Pawtucket, RI 02860-3477 | 2006-03-29 |
| 1750904488 | Hunter Minicucci | Physical Therapist | 990 Main St, East Greenwich, RI 02818-3182 | 2020-05-28 |
| 1831591056 | Stephanie Jean Maciel | Physical Therapist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2014-09-18 |
| 1922417542 | Timothy Haitz | Physical Therapist | 721 Reservoir Ave, Cranston, RI 02910-4430 | 2014-08-07 |
| 1225313158 | Jeffrey J. Kozlik | Physical Therapist | 120 Centerville Rd, Physical Therapy Department, Warwick, RI 02886-4336 | 2011-10-11 |
| 1871800623 | Katarzyna Krystyna Dmoch | Physical Therapist | 140 Point Judith Rd, Suite 33, Narragansett, RI 02882-3451 | 2010-08-31 |
| 1255664181 | Maria Lee Mariorenzi | Physical Therapist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2009-09-10 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
Please comment or provide details below to improve the information on NICHOLAS BRUNO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.