Individual provider Active NPI

Karen Anne Abood-Bruno, PT

  • Physical Therapist
  • East Windsor, NJ
National Provider Identifier
1104889690
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00515700 Issued in NJ
Practice address
139 Dorchester Dr
East Windsor, NJ 08520-1601
Phone
(609) 371-1509
Fax
(609) 371-1509
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00515700 NJ Primary

Addresses

Primary practice location

139 Dorchester Dr
East Windsor, NJ 08520-1601

Mailing address

139 Dorchester Dr
East Windsor, NJ 08520-1601
Phone (609) 529-7495

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

LicenseStateTypeSpecialty
40QA00515700NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1104889690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 DORCHESTER DR",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201601",
            "telephone_number": "609-529-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 DORCHESTER DR",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085201601",
            "telephone_number": "609-371-1509",
            "fax_number": "609-371-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOOD-BRUNO",
        "first_name": "KAREN",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00515700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.