Active NPI
Keri Ann Bruno, PTA
- Orthopedic Physical Therapist
- Raleigh, NC
National Provider Identifier
1164799078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 4580
- Practice address
- 8300 Health Park
Suite 127
Raleigh, NC 27615-4730 - Phone
- (919) 845-6160
- Fax
- (919) 845-6188
- NPI assigned
- Nov 20, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 4580 | NC | Primary |
Addresses
Primary practice location
8300 Health Park
Suite 127
Raleigh, NC 27615-4730
Mailing address
8300 Health Park
Suite 127
Raleigh, NC 27615-4730
Phone (919) 845-6160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4580 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321747200000",
"number": "1164799078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 HEALTH PARK",
"address_2": "SUITE 127",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154730",
"telephone_number": "919-845-6160",
"fax_number": "919-845-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 HEALTH PARK",
"address_2": "SUITE 127",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154730",
"telephone_number": "919-845-6160",
"fax_number": "919-845-6188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO",
"first_name": "KERI",
"middle_name": "ANN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-20",
"last_updated": "2011-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "4580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.