Active NPI
Joel Adrianna Bruno, DPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1003051442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009675
- Practice address
- 390 Stovall St SE
Apt 3109
Atlanta, GA 30316-1526 - Phone
- (404) 719-2515
- NPI assigned
- Dec 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT3118 | AR | |
| Physical Therapist | 225100000X | PT009675 | GA | Primary |
Addresses
Primary practice location
390 Stovall St SE
Apt 3109
Atlanta, GA 30316-1526
Mailing address
390 Stovall St SE
Apt 3109
Atlanta, GA 30316-1526
Phone (404) 719-2515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3118 | AR | MD | Physical Therapist |
| PT009675 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1003051442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 STOVALL ST SE",
"address_2": "APT 3109",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303161526",
"telephone_number": "404-719-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 STOVALL ST SE",
"address_2": "APT 3109",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303161526",
"telephone_number": "404-719-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "JOEL",
"middle_name": "ADRIANNA",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-15",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT3118",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.