Individual provider Active NPI

Nathalie Brus, DPT

  • Pediatric Physical Therapist
  • Tucson, AZ
National Provider Identifier
1073353090
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
012576 Issued in AZ
Practice address
1600 N Kolb Rd Ste 212
Tucson, AZ 85715-4934
Phone
(520) 633-2687
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 012576 AZ Primary

Addresses

Primary practice location

1600 N Kolb Rd Ste 212
Tucson, AZ 85715-4934

Mailing address

2640 N Sahuara Ave
Tucson, AZ 85712-2333

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012576AZMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Pediatric Therapy LLC CurrentSince Jul 7, 2024 Accepting new patients

Locations

1600 N Kolb Rd
Ste 212
Tucson, AZ 85715
Phone (520) 633-2687

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1073353090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 N SAHUARA AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N KOLB RD STE 212",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154934",
            "telephone_number": "520-633-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUS",
        "first_name": "NATHALIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AZ",
            "license": "012576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.