Nicole Bruno
Individual provider Active NPI Occupational Therapist · Southbury, CT
NPI 1245021583 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1245021583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 6139 (CT)
- Practice address
- 655 Main St S
Southbury, CT 06488-4220 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehab OT CT LLC
Practice addresses (Care Compare)
655 Main St S
Southbury, CT 06488-4220
Phone (877) 407-3422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250521000988 | CT | Practitioner - Occupational Therapist in Private Practice | 8224557426 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab OT CT, LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6139 | CT | Yes |
Addresses
Primary practice location
655 Main St S
Southbury, CT 06488-4220
Mailing address
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
Phone (877) 407-3422
Other providers in Southbury, CT
- Kyle Bonura
- Maureen Keegan Boyd
- Daniel Raymond Brockett
- Valerie Candela Brower
- Sara Brown
- Grace Margery Budney
- Ceri England Burke
- Matthew Bushey
- Gail Butler
- Renaldy Byas
All providers in Southbury, CT · Occupational Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.